| NPI | 1013947019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY C SMITH Neurosurgeon 228-388-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MS 15469) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS Pending) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |