Wellformed AI

NPI 1467642801 · live from the CMS NPI Registry

Laura Smart, M.D.

Internal Medicine in Jackson, MS. National Provider Identifier 1467642801, active.

NPI record

NPI1467642801 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location2500 N State St, Jackson, MS 39216
Practice phone601-815-2005
Mailing address504 Clinton Center Dr Ste 4300, Clinton, MS 39056
EnumeratedAugust 1, 2007
Last updatedSeptember 3, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine207R00000X095545 (OH)
Internal Medicine, Gastroenterology207RG0100X44722 (KY)
Internal Medicine, Transplant Hepatology207RT0003X44722 (KY)
Internal Medicine, Hepatology207RI0008X44722 (KY)
Internal Medicine primary207R00000X27080 (MS)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.