Individual provider · Type 1 NPI

Stacey Smith, PA-C

Medical Physician Assistant · Charleston, WV

NPI number 1972918787 Active

Practice location

3200 Maccorkle Ave SE
Charleston, WV 25304-1227

Call (304) 388-5432 Map

Mailing address

3200 Maccorkle Seave B16
Charleston, WV 25304-1227

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1972918787

Stacey Smith, PA-C's National Provider Identifier is 1972918787, issued on Jul 1, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charleston, WV. The record was last updated on Apr 10, 2018.