DR. Mark P Smith, OD

NPI #1952497679 in Brookhaven, Mississippi

Provider Information

NPI Number: 1952497679
Entity Type: Individual
Name: DR. Mark P Smith, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 4, 2006
Last Updated: Sep 20, 2012

Practice Location

Address: 211 NORTH WHITWORTH AVE
City: Brookhaven
State: Mississippi
ZIP Code: 39601
Phone: (601) 833-4431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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