Individual
MR. ANGELO DAMIEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3473
(252) 335-0531
Mailing address
3890 WATERSIDE DR, #305, ELIZABETH CITY, NC 27909
(512) 507-9455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09495
NC
Other
Enumeration date
08/26/2013
Last updated
07/11/2024
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