| Jerome Smith Md Pc | |
|
909 Hioaks Rd Suite B Richmond VA 23225-4038 | |
| (804) 276-4266 | |
| (804) 276-5828 |
| Full Name | Jerome Smith Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 909 Hioaks Rd, Richmond, Virginia |
| Authorized Official Name and Position | Jerome Glascoe Smith (PRESIDENT) |
| Authorized Official Contact | 8042764266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome Smith Md Pc 909 Hioaks Rd Suite B Richmond VA 23225-4038 Ph: (804) 276-4266 | Jerome Smith Md Pc 909 Hioaks Rd Suite B Richmond VA 23225-4038 Ph: (804) 276-4266 |
| NPI Number | 1679895668 |
|---|---|
| Provider Enumeration Date | 02/18/2010 |
| Last Update Date | 03/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679895668 | NPI | - | NPPES |
| 006046398 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101035708 (Virginia) | Primary |
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