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NPI Code Detail

MEDICARE: TERRY C. SMITH, M.D., PA

MEDICARE: TERRY C. SMITH, M.D., PA
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
1174400000XSpecialist15469MS
2332B00000XDurable Medical Equipment & Medical SuppliesPENDINGMS

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 : 1013947019
Entity Type Code : Organization
Provider Name (Legal Business Name) : TERRY C. SMITH, M.D., PA
Provider Business Mailing Address
First Line : 180 DEBUYS RD # B
Second Line : SUITE 102
City : BILOXI
State : MS
Zip : 39531-4402
Country : US
Telephone Number : 228-388-1823
Fax Number : 228-388-1825
Provider Business Practice Location Address
First Line : 180 DEBUYS RD # B
Second Line : SUITE 102
City : BILOXI
State : MS
Zip : 39531-4402
Country : US
Telephone Number : 228-388-1823
Fax Number : 228-388-1825
Authorized Official
Title or Position : NEUROSURGEON
Name : MR. TERRY C SMITH
Credential : M.D.
Telephone Number : 228-388-1823
Provider Enumeration Date : 07/04/2006
Last Update Date : 09/11/2025

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Directions to “TERRY C. SMITH, M.D., PA ” Practice Location

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