Individual
CHARI VAUGHNESE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15195 HEATHCOTE BLVD STE 320, HAYMARKET, VA 20169-6244
(571) 261-3529
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101231521
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006207375
—
VA
Enumeration date
12/13/2005
Last updated
04/19/2023
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