NPI 1184656068

Robert Allen Smith, MD

Practitioner Legal Medicine Jackson, MS

Practice location

Address: 1424 N. State St. STE. 504, Jackson, MS 39202-1658
Phone: (601) 969-9050
Fax: (601) 954-2443
Mailing address: 1424 North State St. Suite 504, Jackson, MS 39202-1658

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 5848 (MS)

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Registry record

NPI: 1184656068
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2006
Record last updated: 8 Jul 2007

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.