NPI 1366320509

Redonda Smith

Practitioner Community Health Worker Crystal Springs, MS

Practice location

Address: 3040 Ruby Rd, Crystal Springs, MS 39059-9131
Phone: (601) 572-9239

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Mississippi →

Registry record

NPI: 1366320509
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2025
Record last updated: 25 Aug 2025

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.