Individual
DR. DAVID EARL SMALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5815 BLAKENEY PARK DR, SUITE 200, CHARLOTTE, NC 28277-5731
(704) 316-5080
(704) 316-5085
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5080
(704) 316-5085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
183546
NC
Other
Enumeration date
06/05/2012
Last updated
10/25/2020
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