Individual
DR. JOHN BALDWIN SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(978) 536-7400
Mailing address
160 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
19652
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904
MEDICARE
NC
01
—
1884
PARTNERS MEDICARE CHOICE
NC
01
—
77799
BLUE CROSS BLUE SHIELD OF NC
NC
05
—
8977799
—
NC
Enumeration date
08/18/2006
Last updated
12/07/2011
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