Erica Kellyn Smith, PA-C, ATC

NPI #1477013456 in Vicksburg, Mississippi

Provider Information

NPI Number: 1477013456
Entity Type: Individual
Name: Erica Kellyn Smith, PA-C, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, ATC
Enumeration Date: Mar 25, 2019
Last Updated: Feb 20, 2024

Practice Location

Address: 2100 HIGHWAY 61 N
City: Vicksburg
State: Mississippi
ZIP Code: 39183-8211
Phone: (601) 883-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X
Physician Assistant	363A00000X	Primary

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