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Individual

MARY GRACE SMILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 781-5159
(304) 523-8115

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2756
WV
363A00000X
Physician Assistant
Primary
50.009034RX
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/11/2022
Last updated
09/20/2024
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