Individual
MICHAEL JAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7954
Mailing address
129 LAFOY DR, CLAYTON, NC 27527-6622
(919) 357-1677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008208
NC
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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