Individual
DR. MICHAEL EARL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35755
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77978
BC BS PROVIDER NUMBER
NC
05
—
8977978
—
NC
Enumeration date
12/26/2006
Last updated
07/09/2007
Update your record
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