Individual
MS. STACI CHARLENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 446-5573
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1562
(855) 446-5937
(740) 446-5573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2458
WV
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
34.010025
OH
207RN0300X
Nephrology Physician
04204
KY
207RN0300X
Nephrology Physician
2458
WV
207RN0300X
Nephrology Physician
Primary
34.010025
OH
Other
Enumeration date
05/14/2007
Last updated
03/12/2026
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