Individual
DONNA R. BACCHI-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 LIBERTY HILL RD, LUMBERTON, NC 28358-2446
(910) 739-3318
(910) 671-3600
Mailing address
400 LIBERTY HILL RD, LUMBERTON, NC 28358-2446
(910) 739-3318
(910) 671-3600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
201502231
NC
208000000X
Pediatrics Physician
Primary
242134
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100008600A
—
OK
01
—
107865100
FIRSTCARE COMMERCIAL
TX
05
—
107865101
—
TX
05
—
138868807
—
TX
05
—
138868808
—
TX
01
—
68866
PRESBYTERIAN COMMERCIAL
NM
05
—
68866
—
NM
01
—
80829Z
HMO BLUE
TX
01
—
86Z584
BC/BS
TX
01
—
A165
TRIWEST
NM
01
—
L0072811
DPS
TX
05
—
S6336
—
NM
Enumeration date
11/07/2005
Last updated
03/07/2023
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