Individual
DR. SUSAN B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1947 MEDICAL AVE, HARRISONBURG, VA 22801
(540) 434-3004
(540) 433-2540
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101232129
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006706843
—
VA
01
—
148142
SOUTHERN HEALTH
VA
01
—
2892616002
CIGNA
VA
01
—
435309
ANTHEM
VA
01
—
51642
OPTIMA
VA
Enumeration date
02/15/2006
Last updated
08/02/2021
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