Smith, Milton Shelby
Smith, Milton Shelby is an individual health care provider with primary practice located at 300 Rawls Dr Suite 100, Mccomb MS 39648-2852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Smith, Milton Shelby can be contacted via phone (601) 684-8050.Contact Information
Primary practice address
300 Rawls Dr Suite 100
Mccomb MS 39648-2852
Phone: (601) 684-8050
Fax: (601) 684-7247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 05324 | Mississippi |
Profile Details
| NPI number | 1376531368 |
|---|---|
| LBN Legal business name | Smith, Milton Shelby |
| Credentials | M.D., F.A.A.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Sep 29th, 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 | 1376531368 | NPPES |
| Mississippi | MEDICAID | 00115203 | |
| Mississippi | MEDICAID | 1165506 |
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