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1669403093
SHANNON LEA SMITH MAXEY
HUNTINGTON, WV
NPI
1669403093
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Former Name
SHANNON LEA SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WV 22344)
Enumeration Date
2006-07-05
Last Update Date
2016-03-16
Business Address
-- SHANNON LEA SMITH MAXEY M.D.
2585 3RD AVENUE
HUNTINGTON, WV 25703
Phone number: 304-781-5138
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Mailing Address
-- SHANNON LEA SMITH MAXEY M.D.
2585 3RD AVE
HUNTINGTON, WV 25703-1642
Phone number: 304-697-1396
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