JACK W. SMITH

FALLS CHURCH, VA
NPI1952593691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0101033705)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  ME 51346)
Enumeration Date2007-08-16
Last Update Date2007-08-16
Business Address
Dr. JACK W. SMITH M.D.
5111 LEESBURG PIKE SKYLINE 5, SUITE 601
FALLS CHURCH, VA 22041-3251
Phone number: 703-681-1708
Mailing Address
Dr. JACK W. SMITH M.D.
3556 EARLY WOODLAND PL
FAIRFAX, VA 22031-4732
Phone number: 703-425-7764
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