Individual
JOANNA GOYETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
102 PAUL MELLON CT STE 102, WALDORF, MD 20602-2793
(215) 503-5724
Mailing address
102 PAUL MELLON CT STE 102, WALDORF, MD 20602-2793
(301) 645-7414
(301) 645-7997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
03/16/2018
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