Individual
BROOKE NICOLE DOROTHY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
191 W UNION ST STE 127, ATHENS, OH 45701-2732
(740) 592-7010
Mailing address
26 HOSPITAL DRIVE, 2ND FLOOR, ATHENS, OH 45701
(740) 249-4122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34.017127
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
34.017127
OH
Other
Enumeration date
03/24/2021
Last updated
04/30/2025
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