Individual
GREGORY A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11110 MEDICAL CAMPUS RD, SUITE 100, HAGERSTOWN, MD 21742
(301) 739-1575
(301) 739-1578
Mailing address
11110 MEDICAL CAMPUS RD, SUITE 100, HAGERSTOWN, MD 21742
(301) 739-1575
(301) 739-1578
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00653
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356398700
—
MD
Enumeration date
07/07/2006
Last updated
11/28/2018
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