Smith, Deborah

Smith, Deborah is an individual health care provider with primary practice located at 2100 Highway 61 N , Vicksburg MS 39183-8211. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Deborah can be contacted via phone (601) 883-5000.

Contact Information

Primary practice address
2100 Highway 61 N Vicksburg MS 39183-8211
Phone: (601) 883-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 093393 Mississippi

Profile Details

NPI number 1841228087
LBN Legal business name Smith, Deborah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Sep 10th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841228087 NPPES
Louisiana MEDICAID 1316148
Louisiana Other 4231263
Louisiana MEDICAID 00114163

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