Individual
DR. THOMAS A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8262 ATLEE RD, SUITE 201, MECHANICSVILLE, VA 23116-1816
(804) 325-8720
(804) 764-7351
Mailing address
8262 ATLEE RD, SUITE 201, MECHANICSVILLE, VA 23116-1816
(804) 325-8720
(804) 764-7351
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101029064
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102565
—
VA
01
—
C06115
GROUP PTAN
VA
Enumeration date
01/27/2006
Last updated
09/05/2012
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