| Doctor Name: | CHARLES WILLIAM SMITH |
| NPI Number: | 1871631895 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 5247 |
| Business Practice Address: | 1000 Skyline Blvd Avenal, CA - 932041850 |
| Business Phone Number: | 5593864500 |
| Business Fax Number: | 5593860999 |
| Mailing Address: | Po Box 700, AVENAL |
| State: | CA |
| Postal Code: | 932040700 |
| Phone Number: | 5593864500 |
| Fax Number: | 5593860999 |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 04/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |