Individual
DR. COLLIN CHRISTOPHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 388-7170
(304) 388-6597
Mailing address
PO BOX 1547, CHARLESTON, WV 25326-1547
(304) 388-6004
(304) 388-3360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102207243
VA
207P00000X
Emergency Medicine Physician
Primary
3717
WV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
0102207243
VA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
3717
WV
Other
Enumeration date
03/25/2018
Last updated
01/02/2024
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