Individual
MEGAN LEIGH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 2ND ST, MARIETTA, OH 45750-2115
(740) 374-3622
Mailing address
PO BOX 449, ATTN: PROVIDER ENROLLMENT, MARIETTA, OH 45750-0449
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.130984
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219615
—
OH
Enumeration date
04/11/2013
Last updated
08/27/2020
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