Mark S Smith Dc Pc | |
1807 Huguenot Rd Ste 105, Midlothian, VA 23113-5604 | |
(804) 897-9194 | |
(804) 423-1599 |
Full Name | Mark S Smith Dc Pc |
---|---|
Type | Facility |
Speciality | Chiropractor - Neurology |
Location | 1807 Huguenot Rd Ste 105, Midlothian, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689797532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NN0400X | Chiropractor - Neurology | 0104000196 (Virginia) | Primary |
Provider Name | Mark Smith |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1508953860 PECOS PAC ID: 8527003136 Enrollment ID: I20050623001031 |
Mailing Address | Practice Location Address |
---|---|
Mark S Smith Dc Pc 13549 Midlothian Turnpike, Midlothian, VA 23113-4261 Ph: (804) 897-9194 | Mark S Smith Dc Pc 1807 Huguenot Rd Ste 105, Midlothian, VA 23113-5604 Ph: (804) 897-9194 |
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