Individual
DELANDO STEFONZ SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 RUTGERS AVE, CHARLOTTE, NC 28206-1342
(757) 773-9198
Mailing address
4200 RUTGERS AVE, CHARLOTTE, NC 28206-1342
(757) 773-9198
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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