Smoyer, Brent Austin
Smoyer, Brent Austin is an individual health care provider with primary practice located at 7601 Southcrest Pkwy , Southaven MS 38671-4739. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Smoyer, Brent Austin can be contacted via phone (731) 514-1824.Contact Information
Primary practice address
7601 Southcrest Pkwy
Southaven MS 38671-4739
Phone: (731) 514-1824
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2011024428 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1987 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00167 | Mississippi |
Profile Details
| NPI number | 1457647414 |
|---|---|
| LBN Legal business name | Smoyer, Brent Austin |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2011 |
| Last updated | Mar 19th, 2013 - about 13 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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