NPI 1124253521

Jeremy K Smallwood, RPARARTRVI

Practitioner Radiology Practitioner Assistant Ocean Springs, MS

Practice location

Address: 3109 Bienville Blvd, Ocean Springs, MS 39564-4361
Phone: (228) 818-1117
Fax: (228) 818-6090

Registered specialties (2)

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X

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Vascular-Interventional Technology Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471V0106X

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Registry record

NPI: 1124253521
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 May 2009
Record last updated: 28 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.