Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PRENTISS LEE SMITH SR., MD
ActiveMR. PRENTISS LEE SMITH SR., MD is a Diagnostic Radiology healthcare provider located in BROOKHAVEN, Mississippi. NPI 1164412722 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · BROOKHAVEN, MS
Registration Details
- NPI Number
- 1164412722
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2005 (20.831394770446 yrs)
- Last Updated
- Jul 8, 2007
- License
-
06251 (MS)
Practice Information
- Address
-
108 LANCE ALWORTH DRBROOKHAVEN, MS, 396012300Browse MS providers · Browse ZIP 39601
- Phone
- 6018338511
- Fax
- 6018355413
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in BROOKHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. JANI L PURVIS | MD | 1063402782 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.