Individual provider · NPI-1

James Smith, C.S.F.A.

Specialist/Technologist, Other, Surgical Assistant · Lebanon, PA

NPI number1366323636
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1366323636
Entity type
Individual (NPI-1)
Name
James Smith
Credential
C.S.F.A.
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 11, 2025
Certification date
Sep 11, 2025
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant136001082VAYes

Practice location

1671 N 7th St
Lebanon, PA 17046-2102

Phone 423-741-0924

Mailing address

1671 N 7th St
Lebanon, PA 17046-2102

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