King, Shelby Smith

King, Shelby Smith is an individual health care provider with primary practice located at 104 Burney Dr , Flowood MS 39232-6621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. King, Shelby Smith can be contacted via phone (601) 987-8200.

Contact Information

Primary practice address
104 Burney Dr Flowood MS 39232-6621
Phone: (601) 987-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Mississippi

Profile Details

NPI number 1336814938
LBN Legal business name King, Shelby Smith
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2021
Last updated Aug 16th, 2021 - about 4 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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