Individual
MR. KWAME O'TERRIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
8220 MEADOWBRIDGE ROAD, MOB 1, STE 313, MECHANICSVILLE, VA 23116
(804) 325-8882
Mailing address
8220 MEADOWBRIDGE ROAD, MOB I, SUITE 313, MECHANICSVILLE, VA 23116
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024191209
VA
Other
Enumeration date
09/16/2024
Last updated
12/24/2024
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