Home » Louisiana » 70345 » Eddie Smith Md A Prof Med Corp

Eddie Smith Md A Prof Med Corp

Eddie Smith Md A Prof Med Corp is a health care provider in Cut Off, LA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 103 Picciola Pkwy, Cut Off, LA 70345-3572, US
Practice Location Phone985-325-6226
Practice Location Fax
Legal Business NameEDDIE SMITH MD A PROF MED CORP
NPI ?1558760785
Entity TypeOrganization
Enumeration Date ? Aug 13, 2014
Last Update Date ? Jan 21, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Eddie Smith Md A Prof Med Corp

SpecialtySpecializationLicenseLicense State
Clinic/CenterPrimary Care

legacy-id-icon Legacy Provider IDs of Eddie Smith Md A Prof Med Corp

Provider IdIssuer StateIssuer TypeIssuer
1357464LouisianaMedicaid

official-icon Authorized Official of Eddie Smith Md A Prof Med Corp

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Eddie Smith Md A Prof Med Corp's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Rachael Angeron
Authorized Official Title/PositionOFFICE MANAGER
Authorized Official Phone Number985-325-6226