Individual
DR. MACKENZIE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 413-6202
Mailing address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 413-6202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010-01082
NC
207Q00000X
Family Medicine Physician
NC2010-01082
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161CP
BCBSNC
NC
05
—
5916698
—
NC
Enumeration date
06/18/2007
Last updated
11/03/2021
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