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NPI Code Detail

MEDICARE: DR. TERRY C SMITH M.D.

MEDICARE:  DR. TERRY C SMITH  M.D.
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

General Provider Information

NPI Number : 1528219466
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TERRY C SMITH M.D.
Provider Business Mailing Address
First Line : 1009 TOMMY MUNRO DR
Second Line :
City : BILOXI
State : MS
Zip : 39532-2100
Country : US
Telephone Number : 228-388-1823
Fax Number :
Provider Business Practice Location Address
First Line : 1009 TOMMY MUNRO DR
Second Line :
City : BILOXI
State : MS
Zip : 39532-2100
Country : US
Telephone Number : 228-388-1823
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2008
Last Update Date : 10/09/2008

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

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