Individual
MS. SAMANTHA ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
207 MEDICAL ST, PILOT MOUNTAIN, NC 27041-8656
(336) 368-5011
(336) 368-1424
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013251
NC
Other
Enumeration date
06/30/2020
Last updated
09/07/2021
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