Individual
MR. HARRIS JESSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
240 SMITH CHURCH RD STE A, ROANOKE RAPIDS, NC 27870-4900
(252) 535-1082
Mailing address
250 SMITH CHURCH RD STE A, ROANOKE RAPIDS, NC 27870-4914
(252) 535-1082
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2013
NC
363A00000X
Physician Assistant
Primary
0010-07459
NC
Other
Enumeration date
03/19/2012
Last updated
11/23/2022
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