Individual
BRANDON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2715 ROANOKE AVE, NEWPORT NEWS, VA 23607-4237
(757) 256-7455
Mailing address
2715 ROANOKE AVE, NEWPORT NEWS, VA 23607-4237
(757) 256-7455
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
VA
Other
Enumeration date
10/22/2025
Last updated
01/05/2026
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