Organization
JEROME SMITH MD PC
Active
Organization
JEROME SMITH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME GLASCOE SMITH (PRESIDENT)
(804) 276-4266
Entity
Organization
Contact information
Practice address
909 HIOAKS RD, SUITE B, RICHMOND, VA 23225-4038
(804) 276-4266
(804) 276-5828
Mailing address
909 HIOAKS RD, SUITE B, RICHMOND, VA 23225-4038
(804) 276-4266
(804) 276-5828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101035708
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006046398
—
VA
Enumeration date
02/18/2010
Last updated
03/11/2010
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