Willie W Smith III, PA-C
NPI #1902231830 in Ronceverte, West Virginia
Provider Information
- NPI Number
- 1902231830
- Entity Type
- Individual
- Name
- Willie W Smith III, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 11, 2013
- Last Updated
- Sep 16, 2020
Practice Location
- Address
- 1521 MAPLEWOOD AVE
- City
- Ronceverte
- State
- West Virginia
- ZIP Code
- 24970-8026
- Phone
- (304) 647-5642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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