Individual
MRS. GINGER ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MHS
Contact information
Practice address
5603 DURALEIGH RD, SUITE 111, RALEIGH, NC 27612-2688
(919) 791-0840
Mailing address
5333 BLUE SAGE DR, RALEIGH, NC 27606-9088
(919) 791-0840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
1065301
NC
Other
Enumeration date
03/28/2006
Last updated
02/18/2014
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