Organization
IPS OF WINCHESTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE L SMITH MD (OWNER)
(540) 313-4358
Entity
Organization
Contact information
Practice address
148 LINDEN DR, SUITE 101, WINCHESTER, VA 22601-6902
(540) 504-0066
(540) 678-9025
Mailing address
148 LINDEN DR, SUITE 101, WINCHESTER, VA 22601-6902
(540) 504-0075
(540) 678-9025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
VA
207R00000X
Internal Medicine Physician
—
VA
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
07/05/2012
Last updated
02/18/2019
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