# LARRY EDWARD SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548283765
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 94-01047 | NC | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 07/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1548283765 | — | NC |
| 01 | — | 77269 | NCBCBS | NC |
| 05 | — | 8977269 | — | NC |
| 05 | — | N01049 | — | SC |
| 01 | — | P00389982 | MEDICARE PIN - RAILROAD | NC |