Individual
DR. MELISSA O SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
5242 DAWES AVE, ALEXANDRIA, VA 22311-1404
(703) 578-3899
(703) 578-8950
Mailing address
5242 DAWES AVE, ALEXANDRIA, VA 22311-1404
(703) 578-3899
(703) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300905
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013618200
—
MD
01
—
2022
BCBS
MN
01
—
3262317
AETNA HMO
MD
01
—
7014474
AETNA
MD
Enumeration date
07/17/2006
Last updated
12/19/2014
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