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Edward Smith
NPI 1346098480 · on the registry since 2024
Practice
- Address
- 9127 Corporate Dr
Southaven, MS 38671 - Phone
- (662) 812-3685
- Organisation at this address
- Frog Services Llc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 172A00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi