Individual
MANDY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
104 MILL END CT, ELIZABETH CITY, NC 27909-8986
(252) 338-5183
(252) 338-5669
Mailing address
104 MILL END CT, ELIZABETH CITY, NC 27909-8986
(252) 338-5183
(252) 338-5669
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
239523
NC
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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