Individual
MRS. MADILYN GRAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 E H ST, ERWIN, NC 28339-2144
(910) 808-1051
(866) 304-6782
Mailing address
65 BRADDOCK DR, LILLINGTON, NC 27546-6305
(910) 890-5818
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-06744
NC
Other
Enumeration date
10/24/2016
Last updated
03/24/2025
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