Individual
KELLY LACY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
590 MANNING DR, DEPARTMENT OF FAMILY MEDICINE, CHAPEL HILL, NC 27599-6119
(919) 966-0210
(919) 966-6126
Mailing address
590 MANNING DR, DEPARTMENT OF FAMILY MEDICINE, CHAPEL HILL, NC 27599-6119
(919) 966-0210
(919) 966-6126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016-00459
NC
Other
Enumeration date
04/23/2013
Last updated
04/06/2021
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