Provider Demographics
NPI:1518843994
Name:SMITH, SHEILA GRIFFIN (SOLE PROPRIETOR)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:GRIFFIN
Last Name:SMITH
Suffix:
Gender:F
Credentials:SOLE PROPRIETOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 SWAMP RD
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:MS
Mailing Address - Zip Code:39051-9081
Mailing Address - Country:US
Mailing Address - Phone:601-951-2154
Mailing Address - Fax:
Practice Address - Street 1:1732 SWAMP RD
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MS
Practice Address - Zip Code:39051-9081
Practice Address - Country:US
Practice Address - Phone:601-951-2154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide