Individual
TIMOTHY C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 397-0235
(252) 937-3102
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19288
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110095575
RAILROAD MEDICARE
NC
01
—
30966
MEDCOST
NC
01
—
78140
BCBSNC
NC
05
—
8978140
—
NC
01
—
982519
CIGNA HEALTHCARE
NC
Enumeration date
09/09/2005
Last updated
03/30/2015
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