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Eddie Smith Md A Prof Med Corp
Primary Care Clinic/Center in Cut Off, Louisiana
NPI 1558760785

Eddie Smith Md A Prof Med Corp is a Primary Care Clinic/Center based in Cut Off, LA and is specialized in Primary Care. Eddie Smith Md A Prof Med Corp practices in Cut Off, LA. The NPI Number for Eddie Smith Md A Prof Med Corp is 1558760785 and holds a License No. (Louisiana).

The current practice location address for Eddie Smith Md A Prof Med Corp is 103 Picciola Pkwy, Cut Off, LA and can be reached out via phone at 985-325-6226.

Location: 103 Picciola Pkwy, Cut Off, LA, 70345-3572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558760785
Provider Name
Eddie Smith Md A Prof Med Corp
Credential
Provider Entity Type
Organization
Address
103 Picciola Pkwy, Cut Off, LA, 70345-3572
Phone Number
985-325-6226
Fax Number
Provider Enumeration Date
08/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1357464 05 LA
institution
Provider Business Practice Location Address Details
Address
103 Picciola Pkwy
City
Cut Off
State
Louisiana
Zip
70345-3572
Phone Number
985-325-6226
Fax Number
person
Provider Business Mailing Address Details
Address
103 Picciola Pkwy
City
Cut Off
State
Louisiana
Zip
70345-3572
Phone Number
985-325-6226
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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