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Individual

MAIRIN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-7154
Mailing address
309 MONTICELLO RD, CHARLOTTESVILLE, VA 22902-5742
(434) 960-7352

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101253809
VA
207P00000X
Emergency Medicine Physician
252538
MA

Other

Enumeration date
04/24/2009
Last updated
03/08/2024
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