Provider Demographics
NPI:1649878232
Name:SMITH, PETER THOMAS CURRY
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:THOMAS CURRY
Last Name:SMITH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18679 BAKER RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-9586
Mailing Address - Country:US
Mailing Address - Phone:740-398-3358
Mailing Address - Fax:
Practice Address - Street 1:18679 BAKER RD
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-9586
Practice Address - Country:US
Practice Address - Phone:740-398-3358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care