Organization
LARRY F SMITH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY FRANCIS SMITH M.D. (PRESIDENT)
(434) 352-3003
Entity
Organization
Contact information
Practice address
181 OLD COURTHOUSE ROAD, APPOMATTOX, VA 24522-0666
(434) 352-3003
(434) 352-5005
Mailing address
PO BOX 666, APPOMATTOX, VA 24522-0666
(434) 352-3003
(434) 352-5005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101028468
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010332753
—
VA
01
—
351964
ANTHEM
VA
Enumeration date
12/29/2008
Last updated
05/25/2011
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