Smith, Samantha

Smith, Samantha is an sole proprietor health care provider with primary practice located at 122 E Academy St , Canton MS 39046-4502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Smith, Samantha can be contacted via phone (601) 859-8992.

Contact Information

Primary practice address
122 E Academy St Canton MS 39046-4502
Phone: (601) 859-8992
Fax: (601) 859-5573
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 903674 Mississippi

Profile Details

NPI number 1174163620
LBN Legal business name Smith, Samantha
Credentials AGNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2020
Last updated Jan 13th, 2020 - 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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