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NPI Code Detail

MEDICARE: DR. CHRISTINE L MILLS SMITH MD

MEDICARE: DR. CHRISTINE L MILLS SMITH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianL22774LA
2207Q00000XFamily Medicine Physician022774LA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
280195165OTHERLARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376520387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE L MILLS SMITH MD
Provider Business Mailing Address
First Line : 8110 SUMMA AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3419
Country : US
Telephone Number : 225-275-4656
Fax Number : 225-412-9547
Provider Business Practice Location Address
First Line : 8110 SUMMA AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3419
Country : US
Telephone Number : 225-275-4656
Fax Number : 225-412-9547
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 03/14/2023

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