Smith, Carol Ann
Smith, Carol Ann is an individual health care provider with primary practice located at 4500 13Th St , Gulfport MS 39501-2515. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Smith, Carol Ann can be contacted via phone (228) 865-3151.Contact Information
Primary practice address
4500 13Th St
Gulfport MS 39501-2515
Phone: (228) 865-3151
Fax: (228) 867-4124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 07055 | Mississippi |
Profile Details
| NPI number | 1639253537 |
|---|---|
| LBN Legal business name | Smith, Carol Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jun 1st, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639253537 | NPPES |
| Mississippi | MEDICAID | 00012871 | |
| Mississippi | MEDICAID | 1639253537 |
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