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Individual
DR. JOHN B. SMITH JR.
Active
Individual
DR. JOHN B. SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00-21870
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00369135
—
NC
01
—
0138819
UNITED HEALTHCARE
NC
01
—
30927
MEDCOST
NC
01
—
560955090F
CIGNA
NC
01
—
5807381
AETNA
NC
01
—
77854
NC BLUE CROSS BLUE SHIELD
NC
Enumeration date
06/29/2006
Last updated
10/18/2019
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