| Doctor Name: | MR. CHARLES L SMITH |
| NPI Number: | 1376513150 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | A01151 ANP |
| Business Practice Address: | 909 Unity Rd Crossett, AR - 716359444 |
| Business Phone Number: | 8703649111 |
| Business Fax Number: | 8703645581 |
| Mailing Address: | Po Box 340, CROSSETT |
| State: | AR |
| Postal Code: | 716350340 |
| Phone Number: | 8703649111 |
| Fax Number: | 8703645581 |
| NPI Enumeration Date: | 01/25/2006 |
| NPI Last Update Date: | 02/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A01151 ANP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |