Edward L Smith Sr.
Edward L Smith Sr. is a Driver in Southaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.
- Licensed in
- MS
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
9127 Corporate DrSouthaven, MS 38671-1243
Phone: (662) 812-3685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence S-2758 (MS) |
|---|---|
| Driver | Taxonomy 172A00000X |
Record details
| NPI number | 1346098480 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 13, 2024 |
| Last updated in NPPES | July 21, 2024 |
| Certification date | July 21, 2024 |
| Mailing address | 9127 Corporate Dr, Southaven, MS 38671-1243 |
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