Individual
ELLEN GEORGE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
354 EQUUS DR, CAMP HILL, PA 17011-8357
(717) 579-3349
Mailing address
354 EQUUS DR, CAMP HILL, PA 17011-8357
(717) 579-3349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD033955E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
867633
GROUP MEDICARE #
PA
Enumeration date
03/24/2006
Last updated
11/11/2015
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