Individual
DR. DAVID MIDDLETON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2103 GRAVES MILL RD, FOREST, VA 24551-2675
(434) 316-7199
(434) 316-6185
Mailing address
2103 GRAVES MILL RD, FOREST, VA 24551-2675
(434) 316-7199
(434) 316-6185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101031023
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005613116
—
VA
01
—
0134585
UNITED HEALTHCARE
VA
01
—
080179876
RAILROAD MEDICARE
VA
01
—
300825
SOUTHERN HEALTH
VA
01
—
452132
ANTHEM/BC/BS
VA
01
—
5234699
CIGNA
VA
01
—
541901162001
PCHP
VA
Enumeration date
11/03/2005
Last updated
10/22/2018
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