| NPI | 1629269477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TODD SMITH Provider 662-320-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 15956) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2008-03-13 |