MEDICARE: DR. HUGH ANTHONY SMITH M.D.

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
1	208800000X	Urology Physician	60441	TN

General Provider Information

NPI Number	:	1821484510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUGH ANTHONY SMITH M.D.

Provider Business Mailing Address
First Line	:	470 SILVER MAPLE RDG APT 10
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25306-1147
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	470 SILVER MAPLE RDG APT 10
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25306-1147
Country	:	US
Telephone Number	:	304-388-5432
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2015
Last Update Date	:	04/29/2022

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