# ELLIECE S. SMITH, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699913814
- **Authorized official:** DR. ELLIECE S. SMITH M.D. (PRESIDENT)
- **Authorized official phone:** (301) 459-5744

## Contact information

- **Practice address:** 9470 ANNAPOLIS RD, SUITE 316, LANHAM, MD 20706-3025
- **Practice address phone:** (301) 459-5744
- **Practice address fax:** (301) 459-5784
- **Mailing address:** 9470 ANNAPOLIS RD, SUITE 316, LANHAM, MD 20706-3025
- **Mailing address phone:** (301) 459-5744
- **Mailing address fax:** (301) 459-5784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D0021988 | MD | Yes |

## Other

- **Enumeration date:** 01/26/2009
- **Last updated:** 09/08/2009