Individual
MRS. DEBBIE C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1766 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 483-4680
(910) 400-8775
Mailing address
1766 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 483-4680
(910) 400-8775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5015298
NC
363LF0000X
Family Nurse Practitioner
0024182626
VA
363LF0000X
Family Nurse Practitioner
Primary
5015298
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437827490
OTHER INSURANCES
VA
05
—
1437827490
—
VA
Enumeration date
09/02/2021
Last updated
12/02/2024
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