# CAROLINA SPINE SPECIALISTS PA

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

## Provider details

- **NPI number:** 1518931666
- **Authorized official:** GARY LOWELL SMOOT MD (PHYSICIAN OWNER)
- **Authorized official phone:** (919) 873-0002

## Contact information

- **Practice address:** 4030 WAKE FOREST RD, SUITE 102, RALEIGH, NC 27609
- **Practice address phone:** (919) 873-0002
- **Practice address fax:** (919) 873-0006
- **Mailing address:** 4030 WAKE FOREST RD, SUITE 102, RALEIGH, NC 27609
- **Mailing address phone:** (919) 873-0002
- **Mailing address fax:** (919) 873-0006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 34163 | NC | Yes |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 10/03/2013