Tyler Smith

NPI #1942690490 in Richland, Mississippi

Provider Information

NPI Number: 1942690490
Entity Type: Individual
Name: Tyler Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 4, 2015
Last Updated: Sep 21, 2015

Practice Location

Address: 1201 HIGHWAY 49 S
Address 2: SUITE 2
City: Richland
State: Mississippi
ZIP Code: 39218-9425
Phone: (769) 233-8844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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