Individual
MELISSA R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-4240
(336) 716-6127
Mailing address
714 CARNEROS CIR, HIGH POINT, NC 27265-9485
(336) 577-4500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01297
NC
363AM0700X
Medical Physician Assistant
Primary
001001297
NC
Other
Enumeration date
03/24/2008
Last updated
03/20/2017
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