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Willie Smith, PA-C
NPI 1902231830 · on the registry since 2013
Practice
- Address
- 1521 Maplewood Ave
Ronceverte, WV 24970 - Phone
- (304) 647-5642
- Fax
- (304) 793-5643
- Clinicians at this address
- 4
Additional practice sites
- 302 Carriage Dr, Beckley, WV
- 1320 Maplewood Ave, Ronceverte, WV
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-16
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