Individual
SHANE S SMITH-GANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
129 SHERLOCK DR, STATESVILLE, NC 28625-1916
(704) 838-8245
Mailing address
650 SIGNAL HILL DRIVE EXT, PO BOX 1845, STATESVILLE, NC 28625-4353
(704) 873-4277
(704) 873-4511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
300078
NC
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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