Individual
BRANDON TYLER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-5530
Mailing address
1681 MAMIE MAY RD, FRANKLINVILLE, NC 27248-8181
(336) 451-7602
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
314238
NC
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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