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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LEROY SMITH, COTA

Active Sole Proprietor

MR. LEROY SMITH, COTA is a Contractor healthcare provider located in SUFFOLK, Virginia. NPI 1205095239 is currently active in the NPPES registry. Verify at CMS.

Contractor · SUFFOLK, VA

Registration Details

NPI Number
1205095239
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2008 (18.151821141236 yrs)
Last Updated
Jun 5, 2008
License
1008775 (VA)
Sole Proprietor
Yes

Practice Information

Address
200 W CONSTANCE RD
SUFFOLK, VA, 234344413
Browse VA providers · Browse ZIP 23434
Phone
7575398744
Fax
7575398764
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in SUFFOLK, VA

Name Credential NPI
ELLA DORAN PT 1336306190
MR. SHARON 01 FURNEY COTA 1013176452
MR. JEFFREY DORSEY CSA 1245657980
TONIA MORRISON 1316393945
JACQUELINE NEVILLE 1124809611
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.