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Individual
CALEB AMOS SMITH
Active
Individual
CALEB AMOS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025-01221
NC
390200000X
Student in an Organized Health Care Education/Training Program
RTL22-0213
NC
Other
Enumeration date
05/03/2022
Last updated
05/18/2025
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