Individual
DR. JAMES ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 TAYLOR AVE., PEARISBURG, VA 24134
(540) 921-6033
Mailing address
103 CAROLINE LN, PEMBROKE, VA 24136-3301
(540) 626-6150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101029755
VA
207P00000X
Emergency Medicine Physician
41163
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84680733
—
CO
Enumeration date
01/10/2006
Last updated
07/08/2007
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