Organization
ST PANTALEON FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PERRY SMITH MD (PRESIDENT)
(704) 288-3961
Entity
Organization
Contact information
Practice address
4001 OLIVE BRANCH RD, MONROE, NC 28110-8858
(980) 333-5368
(888) 869-8634
Mailing address
PO BOX 2062, INDIAN TRAIL, NC 28079-2062
(980) 333-5368
(888) 869-8634
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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