Individual
NELSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 388-5590
(304) 388-8238
Mailing address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 388-5590
(304) 388-8238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2564
WV
208M00000X
Hospitalist Physician
Primary
2564
WV
Other
Enumeration date
04/27/2010
Last updated
01/06/2016
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