Individual
CAROLYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7301
(910) 570-3162
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7301
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
479
NC
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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