Individual
JUSTIN S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 RAY C HUNT DR STE 3100, CHARLOTTESVILLE, VA 22903-2980
(434) 243-3633
(434) 243-1539
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101241542
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548463102
—
VA
Enumeration date
06/08/2007
Last updated
08/11/2023
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