Individual
TERRI S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9900346
NC
208000000X
Pediatrics Physician
Primary
9900346
NC
208M00000X
Hospitalist Physician
9900346
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1220O
BCBSNC
NC
05
—
1295707909
—
NC
01
—
232009
MEDICARE OTHER
NC
01
—
32381
PARTNERS MEDICARE CHOICE
NC
01
—
5153701
AETNA
NC
05
—
891220O
—
NC
05
—
891220Q
—
NC
01
—
90028
MEDCOST
NC
05
—
NC2528
—
SC
Enumeration date
02/06/2006
Last updated
10/26/2020
Update your record
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