MEDICARE: TYRYN 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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1972174126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYRYN SMITH

Provider Business Mailing Address
First Line	:	5300 MACCORKLE AVE SE APT 7
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25304-2222
Country	:	US
Telephone Number	:	304-597-8210
Fax Number	:

Provider Business Practice Location Address
First Line	:	5300 MACCORKLE AVE SE APT 7
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25304-2222
Country	:	US
Telephone Number	:	304-597-8210
Fax Number	:

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

Provider Enumeration Date	:	07/08/2021
Last Update Date	:	07/08/2021

Similar Medicare Providers

1477503027 — DR. YUSR ABOUSHAAR MD
Practice Location Address:

5314 MACCORKLE AVE SE
CHARLESTON, WV
25304-2222

Practice Phone: 304-925-4600
Practice Fax: 304-925-4601

1124072905 — MRS. MARY C POZEGA D.O.
Practice Location Address:

5324 MACCORKLE AVE SE
CHARLESTON, WV
25304-2222

Practice Phone: 304-925-7001
Practice Fax: 304-925-7234

1205023991 — DR. BRIAN MATTHEW HODGES PHARMD
Practice Location Address:

5300 MACCORKLE AVE SE , ROOM 1-SD38
CHARLESTON, WV
25304-2222

Practice Phone: 304-388-9717
Practice Fax:

1649467846 — POZEGA WELLNESS CENTER INC
Practice Location Address:

5324 MACCORKLE AVE SE
CHARLESTON, WV
25304-2222

Practice Phone: 304-925-7001
Practice Fax: 304-925-7234

1679590202 — DALLAS B MARTIN D.O.
Practice Location Address:

1106 SKYTOP CIR
CHARLESTON, WV
25314-2222

Practice Phone: 304-610-3704
Practice Fax:

1588906416 — LAURA MAGNUSON M.D.
Practice Location Address:

171 ASHLEY AVE
CHARLESTON, SC
29425-2222

Practice Phone: 843-792-1414
Practice Fax:

Directions to “ TYRYN SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.