Individual
JOSHUA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, MHS, PA-C
Contact information
Practice address
3480 WAKE FOREST RD STE 208, RALEIGH, NC 27609-7376
(919) 781-4541
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
0010-04522
NC
Other
Enumeration date
06/26/2006
Last updated
04/22/2022
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