Individual
CHARLES JASON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4540 US ROUTE 60, HUNTINGTON, WV 25705-1936
(304) 525-7111
Mailing address
4540 US ROUTE 60, HUNTINGTON, WV 25705-1936
(304) 525-7111
(304) 736-1589
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
107558
WV
Other
Enumeration date
12/27/2021
Last updated
02/08/2023
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