Individual provider · Type 1 NPI
Prentiss Lee Smith Sr., MD
Diagnostic Radiology Physician · Brookhaven, MS
NPI number
1164412722
Active
Practice location
108 Lance Alworth Dr
Brookhaven, MS 39601-2300
Fax (601) 835-5413
Mailing address
PO Box 764
Brookhaven, MS 39602-0764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 06251 (MS) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2 other providers at this address
Other diagnostic radiology physician providers in Brookhaven
About NPI 1164412722
Prentiss Lee Smith Sr., MD's National Provider Identifier is 1164412722, issued on Oct 25, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Brookhaven, MS. The record was last updated on Jul 13, 2026.