| Doctor Name: | DR. EDDIE M SMITH |
| NPI Number: | 1700908241 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 18307 |
| Business Practice Address: | 103 Picciola Pkwy Cut Off, LA - 703453572 |
| Business Phone Number: | 9853256226 |
| Business Fax Number: | 9823256242 |
| Mailing Address: | Po Box 457, GOLDEN MEADOW |
| State: | LA |
| Postal Code: | 703570457 |
| Phone Number: | 9853256226 |
| Fax Number: | 9853256242 |
| NPI Enumeration Date: | 04/04/2007 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 18307 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |