Individual
CHARLES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
219 BUCHANAN ST, PEARISBURG, VA 24134-1901
(540) 921-3502
Mailing address
417 MONTEREY HL, BLUEFIELD, WV 24701-4109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172276
VA
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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