# DR. CHARLES EDWARD SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972617280
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C6243 | AR | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 11/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110525001 | — | AR |
| 01 | — | C-6243 | ALLOPATHIC PHYSICIAN | AR |