MARK S SMITH

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Dr MARK S SMITH is a male medical professional, specializing in Physician Assistant. He graduated in 2012 from Lincoln Memorial University Medical Department.

Contact

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

323 FALLS NWDR
ABINGDON
VA
242108093

Tel: 2766282612

MARK S SMITH Information

Npi 1629321021
Pac Id 0042462434
Professional Enrollment Id I20140402001190
Last Name SMITH
First Name MARK
Middle Name S
Suffix
Gender M
Credential
Medical School Name LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduation Year 2012
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Group Practice Pac Id 9739099441
Number Of Group Practice Members 340
Line 1 Street Address 323 FALLS NWDR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ABINGDON
State VA
Zip Code 242108093
Phone Number 2766282612
Hospital Affiliation Ccn 1 490053
Hospital Affiliation Lbn 1 JOHNSTON MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 440012
Hospital Affiliation Lbn 2 WELLMONT BRISTOL REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 3 490038
Hospital Affiliation Lbn 3 SMYTH COUNTY COMMUNITY HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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