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Dr. Johnny Dwayne Smith, DO
Family Medicine Physician in Buckhannon, West Virginia
NPI 1043239817

Johnny Dwayne Smith is a Family Medicine Physician based in Buckhannon, WV. Johnny Dwayne Smith practices in Buckhannon, WV and has the professional credentials of DO. The NPI Number for Johnny Dwayne Smith is 1043239817 and holds a License No. 1672 (West Virginia).

The current practice location address for Johnny Dwayne Smith is 11 N Locust St, Buckhannon, WV and can be reached out via phone at 304-472-1600 and via fax at 304-472-6055.

Location: 11 N Locust St, Buckhannon, WV, 26201-2231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043239817
Provider Name
Johnny Dwayne Smith
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
11 N Locust St, Buckhannon, WV, 26201-2231
Phone Number
304-472-1600
Fax Number
304-472-6055
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001721765 01 WV MOUNTAIN STATE BCBS
WV01672 01 WV HEALTH PLAN
3810001252 05 WV
P00154078 01 WV RAILROAD MEDICARE
001721766 01 WV BCBS
institution
Provider Business Practice Location Address Details
Address
11 N Locust St
City
Buckhannon
State
West Virginia
Zip
26201-2231
Phone Number
304-472-1600
Fax Number
304-472-6055
person
Provider Business Mailing Address Details
Address
11 N Locust St
City
Buckhannon
State
West Virginia
Zip
26201-2231
Phone Number
304-472-1600
Fax Number
304-472-6055
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
1672 (West Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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