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Individual

ALYSSA ANNAMARIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5120 N CROATAN HWY, KITTY HAWK, NC 27949-3988
(252) 449-5780
Mailing address
5120 N CROATAN HWY, KITTY HAWK, NC 27949-3988
(252) 449-5780

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
NC

Other

Enumeration date
11/15/2022
Last updated
02/13/2023
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