Individual
JEREMY KEITH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 MANNING DR, PHYSICIANS OFFICE BLDG CB# 7594, CHAPEL HILL, NC 27599-7594
(919) 966-6442
Mailing address
170 MANNING DR, PHYSICIANS OFFICE BLDG CB# 7594, CHAPEL HILL, NC 27599-7594
(919) 966-6442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
209737
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209737
NORTH CAROLINA MEDICAL BOARD
NC
Enumeration date
06/18/2015
Last updated
06/18/2015
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