IndividualActive
Mary Smith
NPI 1891508628 · Sports Medicine (Emergency Medicine) Physician · Monroe, LA
Provider details
- NPI number
- 1891508628
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 344075 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3111 Old Sterlington Rd Apt 141
Monroe, LA 71203-2611
Phone: (318) 334-0858
Approximate (ZIP-level) locationGet directions
Mailing address
3111 Old Sterlington Rd Apt 141
Monroe, LA 71203-2611
Registry dates
- Enumerated
- 2025-01-27
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.