IndividualActive
Jeremy Smallwood, RPA/RA, RT(R)(VI)
NPI 1124253521 · Radiology Practitioner Assistant · Ocean Springs, MS
Provider details
- NPI number
- 1124253521
- Entity type
- Individual
- Primary specialty
- Radiology Practitioner AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- RPA/RA, RT(R)(VI)
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone: (228) 818-1117
Fax: (228) 818-6090
Approximate (ZIP-level) locationGet directions
Mailing address
3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Registry dates
- Enumerated
- 2009-05-28
- Last updated
- 2009-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.