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Contact Information

BRENT A SMOYER, PA-C
7601 SOUTHCREST PKWY
SOUTHAVEN, MS38671-4739
 Phone: 731-514-1824
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRENT A SMOYER · (Male)

NPI Number 1457647414
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/28/2011
Last updated 05/22/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2011024428
  • MS License # PA00167
  • TN License # 1987
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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