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Organization
GARY L. SMOOT, M.D., P.A.
Active
Organization
GARY L. SMOOT, M.D., P.A.
Active
Other names
Crown Spine
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PITTMAN SMOOT FNP (PRACTICE MANAGER)
(919) 444-1577
Entity
Organization
Contact information
Practice address
1091 PEMBERTON HILL RD STE 101, APEX, NC 27502-4269
(919) 444-8800
(919) 336-4568
Mailing address
260 SKY LN, PITTSBORO, NC 27312-6638
(919) 444-1577
(919) 336-4568
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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