Individual
LESLIE RIERSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
861OLD WINSTON ROAD, SUITE 103, KERNERSVILLE, NC 27284
(336) 802-2300
(336) 802-2301
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
97-00762
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891033V
—
NC
Enumeration date
05/31/2006
Last updated
07/07/2009
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