Healthcare Provider Details

I. General information

NPI: 1891434023
Provider Name (Legal Business Name): CURTIS SMITH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2022
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1459 LANEY WALKER BLVD
AUGUSTA GA
30912-0002
US

IV. Provider business mailing address

1691 INNOVATION DR STE 2100
BLACKSBURG VA
24060-6618
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-4924
  • Fax:
Mailing address:
  • Phone: 540-232-8405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number0102209244
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: