Individual
CHADWICK RAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702
(304) 526-1234
Mailing address
PO BOX 485, WINFIELD, WV 25213-0485
(304) 382-3118
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21398
WV
207R00000X
Internal Medicine Physician
21398
WV
208000000X
Pediatrics Physician
21398
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000720339
WV BCBS
WV
01
—
1067482
WV DWC
WV
05
—
1811128-000
—
WV
05
—
2691145
—
OH
05
—
7100001570
—
KY
Enumeration date
07/19/2005
Last updated
11/14/2018
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