Individual
ELIZABETH BROOKE JOHNSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5241 SIX FORKS RD STE 100, RALEIGH, NC 27609-4431
(919) 785-3400
Mailing address
PO BOX 52411, PHOENIX, AZ 85072-2411
(919) 785-3400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08724
NC
363AS0400X
Surgical Physician Assistant
0010-08724
NC
Other
Enumeration date
01/08/2019
Last updated
10/24/2025
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