NPI 1124674163

Roderick Malcolm Smith

Practitioner Private Vehicle Gate City, VA

Practice location

Address: 125 Fir St, Gate City, VA 24251-2926
Phone: (276) 690-8752
Fax: (276) 386-2465

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence T65017143 (VA)

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Registry record

NPI: 1124674163
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2019
Record last updated: 15 Aug 2019

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.