Individual
DR. CHARLES EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 N REYNOLDS RD STE 8, BRYANT, AR 72022-2525
(501) 746-0818
Mailing address
1800 N REYNOLDS RD STE 8, BRYANT, AR 72022-2525
(501) 746-0818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6243
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110525001
—
AR
01
—
C-6243
ALLOPATHIC PHYSICIAN
AR
Enumeration date
08/17/2006
Last updated
11/11/2023
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