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Individual
CHARLIE DORN SMITH III
Active
Individual
CHARLIE DORN SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
13042
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2023-01615
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130423
—
SC
01
—
1679530968
GROUP NPI
SC
01
—
7937
MEDICARE GROUP NUMBER
SC
Enumeration date
05/02/2006
Last updated
12/15/2025
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