Individual
MARILYN G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14230 HUNTERS RD, HUNTERSVILLE, NC 28078-7335
(704) 947-6858
Mailing address
19518 CROSSTREE LN, CORNELIUS, NC 28031-5708
(704) 987-0748
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200641
NC
Other
Enumeration date
02/21/2006
Last updated
09/26/2008
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