NPI 1114023942
Douglas R Smith, PA
Practice location
- Address
- 122 12th Street Ext, Princeton, WV 24740-2352
- Phone
- (304) 487-7275
- Mailing address
- 1431 Centerpoint Blvd Suite 100, Knoxville, TN 37932-1984
Registered specialties
Physician Assistant
Primary
Registry record
- NPI
- 1114023942
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Sep 2006
- Record last updated
- 8 Jul 2007
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.