Smothers, Mark Alan

Smothers, Mark Alan is an individual health care provider with primary practice located at 239 Bowling Green Rd , Lexington MS 39095-5167. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Smothers, Mark Alan can be contacted via phone (662) 834-1321.

Contact Information

Primary practice address
239 Bowling Green Rd Lexington MS 39095-5167
Phone: (662) 834-1321
Fax: (662) 834-5240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17006 Oklahoma
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 16296 Mississippi

Profile Details

NPI number 1902938624
LBN Legal business name Smothers, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Sep 15th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902938624 NPPES
Mississippi MEDICAID 0122914
Mississippi Other 930115308

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