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Individual

CAROLE A SMARTH

Active
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Individual

CAROLE A SMARTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

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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