Individual
IAN EVERETT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 395-2323
Mailing address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 395-2323
(757) 395-6280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101282166
VA
208M00000X
Hospitalist Physician
Primary
0101282166
VA
Other
Enumeration date
05/17/2021
Last updated
08/06/2024
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