Dr. Alfred Gordon Smith III
Internal Medicine, Infectious Disease in Portsmouth, VA. Individual provider (NPI-1).
NPI number1851632467
StatusActive
Last updated in NPPESOct 16, 2020
Details
- NPI
- 1851632467
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alfred Gordon Smith III
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2013
- Certification date
- Oct 16, 2020
- Last updated
- Oct 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | 0102203894 | VA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
620 John Paul Jones CircleNaval Medical Center Portsmouth
Portsmouth, VA 23708
Phone 757-953-3149
Mailing address
620 John Paul Jones CirNaval Medical Center Portsmouth
Portsmouth, VA 23708-2111
Phone 757-953-3149
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