Individual
THERESA G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2790 GODWIN BLVD, SUITE 360, SUFFOLK, VA 23434-8151
(757) 539-3911
(757) 925-0615
Mailing address
880 KEMPSVILLE RD, STE 2200, NORFOLK, VA 23502-3990
(757) 539-3911
(757) 925-0615
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0024167593
VA
Other
Enumeration date
03/31/2008
Last updated
01/21/2016
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