Individual
CHARLOTTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(240) 826-7072
Mailing address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0008966
MD
Other
Enumeration date
07/14/2023
Last updated
12/22/2023
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