Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 21933 | MS |
NPI | 1033348438 |
---|---|
Provider Name | Dr. Taylor Franklin Smith |
First Address | Jackson, MS 39202-2027 |
Second Address | Jackson, MS 39202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2009 |
Last Update Date | 18/03/2019 |