Individual
WAYNE F SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2434 W BELVEDERE AVE, BALTIMORE, MD 21215-5202
(410) 601-2246
Mailing address
2434 W BELVEDERE AVE, BALTIMORE, MD 21215-5202
(410) 601-2246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001903
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970011676
RAILROAD MED
MD
Enumeration date
12/16/2005
Last updated
02/29/2008
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