Individual
TRACY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 E MARSHALL ST, RICHMOND, VA 23298-5028
(804) 828-4362
(804) 828-7825
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007274
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/12/2020
Last updated
09/13/2023
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