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Individual
DR. TAMARA SUSAN SMITH
Active
Individual
DR. TAMARA SUSAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101243112
VA
207R00000X
Internal Medicine Physician
0101243112
VA
207R00000X
Internal Medicine Physician
21653
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225127129
—
VA
05
—
30016040950001
—
VA
Enumeration date
10/11/2006
Last updated
03/19/2024
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