# DR. JOHN B. SMITH JR.

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

## Provider details

- **NPI number:** 1659309581
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 00-21870 | NC | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 10/18/2019

## 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 |