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Contact Information

PERCY L SMITH JR, PA
1883 HWY 43 SOUTH, SUITE D
CANTON, MS39046
 Phone: 601-859-8992
 Fax: 601-859-7642
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PERCY L SMITH JR · (Male)

NPI # 1003909854
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/02/2006
Last updated 08/02/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MS License # PA058
  • MS Medicaid 05475760
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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