PRENTISS LEE SMITH

BROOKHAVEN, MS
NPI1164412722
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MS  06251)
Enumeration Date2005-10-25
Last Update Date2007-07-08
Business Address
Mr. PRENTISS LEE SMITH MD
108 LANCE ALWORTH DR
BROOKHAVEN, MS 39601-2300
Phone number: 601-833-8511
Mailing Address
Mr. PRENTISS LEE SMITH MD
PO BOX 764
BROOKHAVEN, MS 39602-0764
Phone number: 601-833-8511