Individual
ADAM SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
311 PRINCE ST, BECKLEY, WV 25801-4515
(865) 456-0478
Mailing address
311 PRINCE ST, BECKLEY, WV 25801-4515
(865) 456-0478
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-9176
WV
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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