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1043239817
JOHNNY DWAYNE SMITH
BUCKHANNON, WV
NPI
1043239817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 1672)
Enumeration Date
2006-07-19
Last Update Date
2014-10-27
Business Address
Dr. JOHNNY DWAYNE SMITH D.O.
11 N LOCUST ST
BUCKHANNON, WV 26201-2231
Phone number: 304-472-1600
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Mailing Address
Dr. JOHNNY DWAYNE SMITH D.O.
11 N LOCUST ST
BUCKHANNON, WV 26201-2231
Phone number: 304-472-1600
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