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Organization

SMITH FAMILY HEALTHCARE, LLP

Active
Other names
Smith Family Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
DIANNA KAY SMITH (PARTNER/NURSE PRACTITIONER)
(740) 578-4824
Entity
Organization

Contact information

Practice address
254 PINECREST DR, GALLIPOLIS, OH 45631-1347
(740) 578-4824
(740) 578-4821
Mailing address
254 PINECREST DR, GALLIPOLIS, OH 45631-1347
(740) 578-4824
(740) 578-4821

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM1300X
Multi-Specialty Clinic/Center
RN251827/NP06403
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0462140
OH
Enumeration date
03/27/2017
Last updated
12/15/2021
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