Individual
CAROL LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1387 CHEWS LANDING RD, CLEMENTON, NJ 08021-2760
(856) 454-3104
(856) 842-5298
Mailing address
1387 CHEWS LANDING RD, CLEMENTON, NJ 08021-2760
(856) 454-3104
(856) 842-5298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00614200
NJ
Other
Enumeration date
08/20/2014
Last updated
10/31/2025
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