| NPI | 1891822714 | 
|---|---|
| Doing Business As | CSMITHMD | 
| Entity Type | Organization | 
| Authorized Contact | CHERYL AUSTIN SMITH President 877-276-4846  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 023233)  | 
| Enumeration Date | 2007-02-27 | 
| Last Update Date | 2023-02-11 |