Organization
DAVIDSON SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D SMITH, II M.D. (CORPORATE PRESIDENT)
(336) 475-7148
Entity
Organization
Contact information
Practice address
1219 LEXINGTON AVE, SUITE A, THOMASVILLE, NC 27360-2870
(336) 475-7148
(336) 475-7031
Mailing address
1219 LEXINGTON AVE, SUITE A, THOMASVILLE, NC 27360-2870
(336) 475-7148
(336) 475-7031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39915
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01426
BCBS OF NC PROVIDER #
NC
05
—
8901426
—
NC
Enumeration date
11/07/2005
Last updated
01/05/2010
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