Provider Demographics
NPI:1871714774
Name:SMITH, DONALD C (MD MPH)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:C
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 FRANCIS MARION LANE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354
Mailing Address - Country:US
Mailing Address - Phone:276-781-7450
Mailing Address - Fax:276-781-7455
Practice Address - Street 1:201 FRANCIS MARION LANE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354
Practice Address - Country:US
Practice Address - Phone:276-781-7450
Practice Address - Fax:276-781-7455
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010278942083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC08868Medicare PIN