Individual
DR. JENNIFER GADEYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8220 MEADOWBRIDGE RD, SUITE 203, MECHANICSVILLE, VA 23116-2339
(804) 764-1253
(804) 764-1259
Mailing address
8220 MEADOWBRIDGE RD, SUITE 203, MECHANICSVILLE, VA 23116-2339
(804) 764-1253
(804) 764-1259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237011
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
Enumeration date
01/30/2006
Last updated
03/21/2012
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