# GARY L. SMOOT, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crown Spine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134716921
- **Authorized official:** LISA PITTMAN SMOOT FNP (PRACTICE MANAGER)
- **Authorized official phone:** (919) 444-1577

## Contact information

- **Practice address:** 1091 PEMBERTON HILL RD STE 101, APEX, NC 27502-4269
- **Practice address phone:** (919) 444-8800
- **Practice address fax:** (919) 336-4568
- **Mailing address:** 260 SKY LN, PITTSBORO, NC 27312-6638
- **Mailing address phone:** (919) 444-1577
- **Mailing address fax:** (919) 336-4568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2020
- **Last updated:** 12/28/2020