Individual
DR. JAMES BRANDON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WV DIVISION OF REHABILITATION, 500 QUARRIER ST, STE 500, CHARLESTON, WV 25301-9829
(304) 353-5055
Mailing address
3501 MACCORKLE AVE SE # 303, CHARLESTON, WV 25304-1419
(304) 807-0337
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
26004
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WV5822F058
PTAN
—
Enumeration date
08/24/2007
Last updated
05/08/2024
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