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Organization
GERRY NIEMAN SMITH MD LLC
Active
Organization
GERRY NIEMAN SMITH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILIZ VEGA-ANDERSON (CREDENTIALING MANAGER)
(757) 297-1346
Entity
Organization
Contact information
Practice address
1120 FIRST COLONIAL RD STE 206, VIRGINIA BEACH, VA 23454-2418
(757) 496-2325
Mailing address
1120 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2418
(757) 496-2325
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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