Provider Demographics
NPI:1760690226
Name:SMITH, STEPHANIE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:ELIZABETH
Last Name:SMITH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9137 CHAMBERLAYNE RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2534
Mailing Address - Country:US
Mailing Address - Phone:804-723-4668
Mailing Address - Fax:804-723-4669
Practice Address - Street 1:9137 CHAMBERLAYNE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2534
Practice Address - Country:US
Practice Address - Phone:804-723-4668
Practice Address - Fax:804-723-4669
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2018-03-17
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Provider Licenses
StateLicense IDTaxonomies
VA0101238992208000000X, 207Q00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics