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Tyler Smith
Specialist in Richland, Mississippi
NPI 1942690490

Tyler Smith is a Specialist based in Richland, MS. Tyler Smith practices in Richland, MS. The NPI Number for Tyler Smith is 1942690490 and holds a License No. OT2992 (Mississippi).

The current practice location address for Tyler Smith is 1201 Highway 49 S, Richland, MS and can be reached out via phone at 769-233-8844 and via fax at 769-251-1825.

Location: 1201 Highway 49 S, Richland, MS, 39218-9425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942690490
Provider Name
Tyler Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
1201 Highway 49 S, Richland, MS, 39218-9425
Phone Number
769-233-8844
Fax Number
769-251-1825
Provider Enumeration Date
02/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1201 Highway 49 S
City
Richland
State
Mississippi
Zip
39218-9425
Phone Number
769-233-8844
Fax Number
769-251-1825
person
Provider Business Mailing Address Details
Address
1201 Highway 49 S
City
Richland
State
Mississippi
Zip
39218-9425
Phone Number
769-233-8844
Fax Number
769-251-1825
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OT2992 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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