Individual
DR. CLYDE J. SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-1761
(434) 982-3561
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101253870
VA
208000000X
Pediatrics Physician
0101253870
VA
2080P0202X
Pediatric Cardiology Physician
0101253870
VA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0101253870
VA
Other
Enumeration date
06/23/2009
Last updated
06/21/2023
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