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Individual

MS. FOWLER RICHARDS SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1123 N CHURCH ST, GREENSBORO, NC 27401-1007
(336) 832-4400
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5015255
NC
363LF0000X
Family Nurse Practitioner
Primary
5015255
NC

Other

Enumeration date
10/22/2021
Last updated
01/14/2026
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