Provider Demographics
NPI:1659650166
Name:SMITH, AARON JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:JAMES
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 VISION LN
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-4607
Mailing Address - Country:US
Mailing Address - Phone:601-445-5884
Mailing Address - Fax:601-446-7732
Practice Address - Street 1:10 VISION LN
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-4607
Practice Address - Country:US
Practice Address - Phone:601-445-5884
Practice Address - Fax:601-446-7732
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS23307207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09455267Medicaid
MSP01505641OtherMEDICARE RAILROAD
LA2404504Medicaid
MSP01505641OtherMEDICARE RAILROAD
LA2404504Medicaid