Provider Information for 1477090496
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Mrs. ANASTASIA SMITH-MCEWEN L.P.C.
Sex: Female
NPI: 1477090496
Last Updated: 2017-01-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1477090496 | ||||||||
| Enumeration Date | 2017-01-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1409 SPRINGDALE DR JACKSON, MS 39211-3228 United States Phone: 601-259-2403 | Fax: | ||||||||
| Primary Practice Address | 1409 SPRINGDALE DR JACKSON, MS 39211-3228 United States Phone: 601-259-2403 | Fax: | ||||||||
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