Smyth, Andrew T

Smyth, Andrew T is an individual health care provider with primary practice located at 969 Lakeland Dr , Jackson MS 39216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smyth, Andrew T can be contacted via phone (877) 406-2916.

Contact Information

Primary practice address
969 Lakeland Dr Jackson MS 39216
Phone: (877) 406-2916
Fax: (601) 682-7909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME66015 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 19681 Mississippi

Profile Details

NPI number 1982689816
LBN Legal business name Smyth, Andrew T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Feb 10th, 2017 - about 7 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 1982689816 NPPES
Florida MEDICAID 375498700
Florida MEDICAID 06550800

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