NPI 1740759810

David Dewayne Smith

Practitioner Transportation Broker Foxworth, MS

Practice location

Address: 17 Daisy Ln, Foxworth, MS 39483-4868
Phone: (601) 395-7602

Registered specialties

Transportation Broker Primary

Transportation Services Taxonomy 347E00000X Licence 800427553 (MS)

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Registry record

NPI: 1740759810
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Nov 2018
Record last updated: 19 Nov 2018

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.