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Individual

MR. ALAN A SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSA

Contact information

Practice address
549 ROYAL GRANT DR, CHESAPEAKE, VA 23322
(757) 692-6061
Mailing address
549 ROYAL GRANT DR, CHESAPEAKE, VA 23322-8815
(757) 692-6061

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1947
VA

Other

Enumeration date
08/12/2011
Last updated
08/12/2011
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