Individual
JOHN JOSEPH SMITH III
Active
Individual
JOHN JOSEPH SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2006-01208
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10385121
—
VA
01
—
143A1
BCBS
—
01
—
191377
MEDCOST
—
05
—
3810007318
—
WV
01
—
4397049
AETNA
—
05
—
5905795
—
NC
05
—
6193161
—
MA
01
—
808464
PARTNERS
—
01
—
P00378870
RR MEDICARE
—
05
—
Q0120D
—
SC
Enumeration date
10/04/2005
Last updated
07/12/2023
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