Thedia J Smith
Pediatrician
733 Volvo Pkwy Suite 200
Chesapeake
, Virginia 23320-1609
Thedia J Smith
Pediatrician
733 Volvo Pkwy Suite 200
Chesapeake
, Virginia 23320-1609
(888) 371-4920
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Thedia J Smith
- 733 Volvo Pkwy Suite 200
- Chesapeake, VA
- Zip : 23320-1609
- Fax : (888) 371-4920
- Phone : (757) 547-5851
Second Address
- Thedia J Smith
- 733 Volvo Pkwy Suite 200
- Chesapeake, VA
- Zip : 23320-1609
- Fax : (888) 371-4920
- Phone : (757) 547-5851
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 0101046052 | VA |
National Provider Identifier
| NPI | 1013015080 |
|---|---|
| Provider Name | Thedia J Smith |
| First Address | Chesapeake, VA 23320-1609 |
| Second Address | Chesapeake, VA 23320-1609 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 14/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010346045 | (05) | VA |
| B64128 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.