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Charlene Smith, MS,CCC-A

NPI 1558532226 · on the registry since 2008

Practice

Address
107 Front Street
Suite 2141
Vidalia, LA 71373
Phone
(318) 336-2214
Fax
(318) 336-6069
Organisation at this address
River Park Asc Llc
Vicksburg Clinic Llc
Royal Surgery Center
J H Fairbanks Md Pllc
Tillman Medical Group Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
237600000X
237600000X
Also registered as
237600000X
Licence states on file
LA, MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana