Individual
CHARLES I SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 MEDICAL CIRCLE, MOREHEAD, KY 40351-1181
(606) 784-6641
(606) 780-2373
Mailing address
234 MEDICAL CIRCLE, MOREHEAD, KY 40351-1181
(606) 784-6641
(606) 783-7281
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36792
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64038888
—
KY
Enumeration date
05/03/2006
Last updated
07/08/2007
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