Mark Samuel Smith, PA-C

NPI #1629321021 in Abingdon, Virginia

Provider Information

NPI Number: 1629321021
Entity Type: Individual
Name: Mark Samuel Smith, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 23, 2012
Last Updated: Feb 23, 2017

Practice Location

Address: 16000 JOHNSTON MEMORIAL DR
Address 2: FOURTH FLOOR
City: Abingdon
State: Virginia
ZIP Code: 24211-7659
Phone: (276) 258-4050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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