Individual
SHAWN TYRELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT,HAA
Contact information
Practice address
3600 MILLERS GLEN LN APT 208, RICHMOND, VA 23231-2358
(804) 668-6472
Mailing address
3600 MILLERS GLEN LN APT 208, RICHMOND, VA 23231-2358
(804) 668-6472
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
B102308706
VA
146N00000X
Basic Emergency Medical Technician
Primary
B102308706
VA
Other
Enumeration date
07/12/2024
Last updated
03/13/2026
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