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Individual

MISS BETHANY MELVA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2405 N COLUMBUS ST, SUITE 250, LANCASTER, OH 43130-8185
(740) 654-6213
(740) 654-3346
Mailing address
2405 N COLUMBUS ST, SUITE 250, LANCASTER, OH 43130-8185
(740) 654-6213
(740) 654-3346

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004520RX
OH

Other

Enumeration date
03/11/2016
Last updated
03/11/2016
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