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Heather L Smith

  • Female

Medical Specialty

Professional ID

  • NPI: 1982671699
  • PECOS ID: 5395784151
  • Enrollment ID: I20050430000066
  • Credential(MD, DO, DPM): NP
  • Medical School:
  • Medical School Graduation Year: 2005

Hospital Service

  • Hospital CCN1: 040020
  • Business Name (LBN)1: St Bernards Medical Center

Medical Practices

  • Organization Name: T W Wagner Inc
  • Group Practice ID assigned by PECOS: 1153359096
  • Number of Group Practice member: 5

Location

  • Address1: 434 Hwy 18 Byp
  • Address2:
  • City: Manila
  • State: Arkansas
  • Zip Code: 72442
  • Phone Number: (870)561-3300

Location

  • Address1: 730 Greenwood Ave B
  • Address2:
  • City: Lepanto
  • State: Arkansas
  • Zip Code: 72354
  • Phone Number: (870)475-3825

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):