Timothy Smith

NPI 1619526415 · on the registry since 2019 · sole proprietor

Practice

Address: 6500 Maccorkle Ave
Saint Albans, WV 25177
Phone: (304) 768-0002
Organisation at this address: St Albans Operating Company Llc
Riverside Valley Of Journey, Llc
Riverside Health And Rehabilitation, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-09-05

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 West Virginia