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Individual

BETHANY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1613 MILITARY CUTOFF RD STE 110, WILMINGTON, NC 28403-5748
(910) 781-8927
Mailing address
1613 MILITARY CUTOFF RD STE 110, WILMINGTON, NC 28403-5748

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5021802
NC
363LF0000X
Family Nurse Practitioner
0024189078
VA
363LF0000X
Family Nurse Practitioner
Primary
95011890
CA
363LF0000X
Family Nurse Practitioner
RN306491
GA

Other

Enumeration date
03/06/2020
Last updated
05/13/2026
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