Individual
DR. JANNE KETTLESON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3321 FREEDOM DR, CHARLOTTE, NC 28208-2818
(704) 392-6371
Mailing address
3321 FREEDOM DR, CHARLOTTE, NC 28208-2818
(704) 392-6371
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1029
NC
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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