Provider Demographics
NPI:1801345640
Name:SMITH, JAMES FRANKLIN JR
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FRANKLIN
Last Name:SMITH
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 N MARKET AVE
Mailing Address - Street 2:UNIT B
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-3644
Mailing Address - Country:US
Mailing Address - Phone:405-464-3289
Mailing Address - Fax:
Practice Address - Street 1:1919 N MARKET AVE
Practice Address - Street 2:UNIT B
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-3644
Practice Address - Country:US
Practice Address - Phone:405-464-3289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist