Individual
MR. WILLIAM BENJAMIN SMITH III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
190 KIMEL PARK DR, WINSTON-SALEM, NC 27103-6946
(336) 794-8668
Mailing address
3013 SPILLMAN FRYE LN, EAST BEND, NC 27018-8486
(336) 961-6102
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103175
NC
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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