Individual
MR. COREY H SMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2900 LAMB CIR, SUITE L-760, CHRISTIANSBURG, VA 24073-6344
(540) 731-2436
(540) 731-2439
Mailing address
2900 LAMB CIR, SUITE L-760, CHRISTIANSBURG, VA 24073-6344
(540) 731-2436
(540) 731-2439
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110004224
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649555251
SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
VA
05
—
1649555251
—
VA
01
—
495870
ANTHEM MEDIGAP
VA
01
—
541586601118
TRICARE
VA
01
—
P01235710
RAILROAD MEDICARE
VA
Enumeration date
10/14/2011
Last updated
12/31/2013
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