Andrea L. Smith Md

LBN: Andrea L. Smith Md
Andrea L. Smith Md is an health care organization with primary practice located at 785 Ohio Ave Suite 1D, Clarksdale MS 38614-6217. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Andrea L. Smith Md can be contacted via phone (662) 624-5485, or through Smith, Andrea L via phone (662) 624-5485.

Contact Information

Primary practice address
785 Ohio Ave Suite 1D Clarksdale MS 38614-6217
Phone: (662) 624-5485
Fax: (662) 624-8890
Website:
Map and Directions
Authorized official contact:
Name: Smith, Andrea L Doctor of Medicine (MD)
Phone: (662) 624-5485

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 09185 Mississippi

Profile Details

NPI number 1679714091
LBN Legal business name Andrea L. Smith Md
DBA Doing business as
Authorized official Smith, Andrea L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2009
Last updated May 1st, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679714091 NPPES
Mississippi MEDICAID 05512228

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