Organization
CAROLINA SPINE SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LOWELL SMOOT MD (PHYSICIAN OWNER)
(919) 873-0002
Entity
Organization
Contact information
Practice address
4030 WAKE FOREST RD, SUITE 102, RALEIGH, NC 27609
(919) 873-0002
(919) 873-0006
Mailing address
4030 WAKE FOREST RD, SUITE 102, RALEIGH, NC 27609
(919) 873-0002
(919) 873-0006
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34163
NC
Other
Enumeration date
02/15/2006
Last updated
10/03/2013
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