MALCOLM C SMITH

BILOXI, MS
NPI1629536214
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  903210)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: MS  903210)
Enumeration Date2019-03-04
Last Update Date2019-03-04
Business Address
MALCOLM C SMITH NP
400 VETERANS AVE
BILOXI, MS 39531-2410
Phone number: 228-523-4947
Mailing Address
MALCOLM C SMITH NP
400 VETERANS AVE
BILOXI, MS 39531-2410
Phone number: 228-523-4947