Individual
CHARLES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
828 W MAIN ST, MT PLEASANT, PA 15666-1730
(724) 547-4441
Mailing address
419 BROWN AVE, GREENSBURG, PA 15601-2251
(864) 872-9571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060536
PA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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