Individual
DR. HOLLY LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
306 SOUTH MAIN ST., RURAL RETREAT, VA 24368
(276) 686-5116
(276) 686-6289
Mailing address
PO BOX 753, RURAL RETREAT, VA 24368-0753
(276) 686-5116
(276) 686-6289
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
0101047615
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005667658
—
VA
Enumeration date
05/04/2006
Last updated
07/08/2007
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