Individual
DR. BLAINE E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8601 VETERANS HWY, SUITE 100, MILLERSVILLE, MD 21108-1547
(410) 729-4451
(410) 729-4470
Mailing address
PO BOX 404442, ATLANTA, GA 30384-4442
(804) 756-5130
(804) 672-6899
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0021406
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38110057
CAREFIRST BCBS
DC
01
—
KC46SH42453901
CAREFIRST BCBS
MD
Enumeration date
08/23/2005
Last updated
02/11/2008
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