Smith, Derrick Brice
Smith, Derrick Brice is an individual health care provider with primary practice located at 7521 Old Canton Rd , Madison MS 39110-8669. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Smith, Derrick Brice can be contacted via phone (601) 856-8041.Contact Information
Primary practice address
7521 Old Canton Rd
Madison MS 39110-8669
Phone: (601) 856-8041
Fax: (866) 404-9501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT5718 | Mississippi |
Profile Details
| NPI number | 1740734029 |
|---|---|
| LBN Legal business name | Smith, Derrick Brice |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2016 |
| Last updated | Jun 7th, 2023 - about last year |
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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