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Individual

TINA SMUSZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
(540) 731-2614
Mailing address
5555 MOUNT TABOR RD, CATAWBA, VA 24070-1903

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-043640
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010246547
VA
Enumeration date
01/14/2006
Last updated
05/07/2008
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