Individual
JIMIL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1121 CAROLINA AVE, BLUEFIELD, WV 24701-2720
(304) 888-8180
Mailing address
1121 CAROLINA AVE, BLUEFIELD, WV 24701-2720
(304) 888-8180
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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