Individual
PAMELA G. SMITH
Active
Individual
PAMELA G. SMITH
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
0101047209
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010215064
VA PREMIER PROVIDER NUMBE
—
05
—
010215064
—
VA
05
—
1609873009
—
NC
01
—
186413
ANTHEM PROVIDER NUMBER
—
01
—
203639329
PCHP PROVIDER NUMBER
—
01
—
203639329013
TRICARE PROVIDER NUMBER
—
01
—
329073
SOUTHERN HEALTH PROVIDER
—
01
—
45419
SENTARA/OPTIMA PROVIDER N
—
01
—
48580
MEDCOST PROVIDER NUMBER
—
05
—
5916492
—
NC
01
—
700010638
CIGNA PROVIDER NUMBER
—
05
—
Q01837
—
SC
Enumeration date
06/30/2005
Last updated
02/24/2020
Update your record
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