Individual
DOROTHY ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1080 TAYLOR ESTATE RD, WILLIAMSTON, NC 27892-9655
(252) 792-3020
(252) 792-3020
Mailing address
1080 TAYLOR ESTATE RD, WILLIAMSTON, NC 27892-9655
(252) 792-3020
(252) 792-3020
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252Y00000X
TAXONOMY CODE
NC
Enumeration date
08/24/2007
Last updated
12/10/2007
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