Individual
DR. BRANDON L SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 202-3363
Mailing address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 202-3363
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2005-01325
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902927
—
NC
01
—
7388297
MAMSI
—
Enumeration date
06/01/2006
Last updated
05/16/2014
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