Individual
JUANITA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101258839
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
0101258839
VA
Other
Enumeration date
07/21/2006
Last updated
10/30/2025
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