Individual
MS. TERI L SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 N CLAYTON ST, WILMINGTON, DE 19805-3165
(302) 421-4231
Mailing address
2024 GILPIN AVE., WILMINGTON, DE 19806-2214
(302) 654-7719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA053769
PA
363AS0400X
Surgical Physician Assistant
Primary
C5-0000442
DE
Other
Enumeration date
03/29/2007
Last updated
07/02/2021
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