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NPI Code Detail

MEDICARE: MADISON SMITH

MEDICARE:   MADISON  SMITH
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
1390200000XStudent in an Organized Health Care Education/Training ProgramLA

General Provider Information

NPI Number : 1689546541
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON SMITH
Provider Business Mailing Address
First Line : 13041 CATAHOULA DR
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-6966
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13041 CATAHOULA DR
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-6966
Country : US
Telephone Number : 225-287-1464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2025
Last Update Date : 09/20/2025

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Directions to “ MADISON SMITH ” Practice Location

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