Dr. Stanley B Smith, MD
Internal Medicine, Nephrology in Suffolk, VA. Individual provider (NPI-1).
NPI number1902895899
StatusActive
Last updated in NPPESOct 24, 2007
Details
- NPI
- 1902895899
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stanley B Smith
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2005
- Last updated
- Oct 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 0101029757 | VA | Yes |
Practice location
2790 Godwin BlvdSuite 255
Suffolk, VA 23434-8151
Phone 757-925-0411 · Fax 757-925-0412
Mailing address
6160 Kempsville CirSuite 302a
Norfolk, VA 23502-3933
Phone 757-466-9288 · Fax 757-457-3691
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