Individual
TIMOTHY C SMITH
Active
Individual
TIMOTHY C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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