NPI 1104259522

Antoine Lamont Smith, HS

Practitioner Independent Duty Medical Technicians Chesapeake, VA

Practice location

Address: 1260 Shotgun Rd, Chesapeake, VA 23322-4512
Phone: (757) 421-1875

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1104259522
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2013
Record last updated: 21 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.