Individual
CAROLE A SMARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44084 RIVERSIDE PKWY, SUITE 300, LEESBURG, VA 20176-5102
(703) 734-7530
(703) 858-2870
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101243111
VA
207RI0200X
Infectious Disease Physician
0101243111
VA
208000000X
Pediatrics Physician
0101243111
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558391615
—
VA
01
—
P00690438
RR MEDICARE PIN
VA
Enumeration date
07/04/2006
Last updated
10/25/2012
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