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Individual
ROY M SMITH
Active
Individual
ROY M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3108
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07924
BCBS
NC
01
—
110441
WELLNESS
NC
01
—
294088
MAMSI
NC
05
—
7211859
—
NC
01
—
88728
MEDCOST
NC
Enumeration date
08/01/2006
Last updated
07/08/2007
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