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1497268114
SCOTTIE ALLEN SMITH
CHARLESTON, WV
NPI
1497268114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV APRN83542-NP-C)
Enumeration Date
2017-11-16
Last Update Date
2019-02-04
Business Address
SCOTTIE ALLEN SMITH APRN, NP-C
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-4172
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Mailing Address
SCOTTIE ALLEN SMITH APRN, NP-C
PO BOX 1547
CHARLESTON, WV 25326-1547
Phone number: 304-388-6004
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