Individual
MR. JAMES LUTHER SMALLEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT- 18D-ATP
Contact information
Practice address
BLDG T3358 18TH SPECIAL FORCES WAY, HOFFMAN, NC 28347
(910) 396-8115
Mailing address
2817 REILLY ST, FORT LIBERTY, NC 28310-7324
(910) 396-8115
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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