Individual
ROGER E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1918 RANDOLPH RD STE 350, CHARLOTTE, NC 28207-1111
(704) 384-1750
(704) 384-1748
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1750
(704) 384-1748
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17801
NC
207RC0000X
Cardiovascular Disease Physician
Primary
17801
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8978124
—
NC
Enumeration date
05/18/2006
Last updated
01/13/2011
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