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Individual

NICHOLAS LEE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
660A S MAIN ST, MADISON, WV 25130-1245
(304) 369-1230
(304) 850-3352
Mailing address
660A S MAIN ST, MADISON, WV 25130-1245
(304) 369-1230
(304) 850-3352

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1232
WV
363AM0700X
Medical Physician Assistant
01232
WV

Other

Enumeration date
01/15/2008
Last updated
07/31/2026
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