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NPI Code Detail

MEDICARE: DR. PAMELA R SMITH

MEDICARE:  DR. PAMELA R SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)718VA

General Provider Information

NPI Number : 1487123162
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAMELA R SMITH
Provider Business Mailing Address
First Line : 6300 DALESHIRE DR
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-5618
Country : US
Telephone Number : 804-306-0512
Fax Number :
Provider Business Practice Location Address
First Line : 6300 DALESHIRE DR
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-5618
Country : US
Telephone Number : 804-855-9432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2018
Last Update Date : 11/25/2018

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Directions to “ DR. PAMELA R SMITH ” Practice Location

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