# CENTER FOR FAMILY WELLNESS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376590141
- **Authorized official:** DR. TODD A SMITH DC (PRESIDENT)
- **Authorized official phone:** (336) 372-1666

## Contact information

- **Practice address:** 325 SOUTH MAIN STREET, SPARTA, NC 28675
- **Practice address phone:** (336) 372-1666
- **Mailing address:** PO BOX 1827, SPARTA, NC 28675-1827
- **Mailing address phone:** (336) 372-1666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NI0900X | Internist Chiropractor | 1643 | NC | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 05/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0118C | BCBS - CORPORATE | NC |
| 01 | — | 0882C | BCBS - INDIVIDUAL | NC |
| 05 | — | 790118C | — | NC |
| 05 | — | 890882C | — | NC |