Individual
DR. EMILY LEROY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2821 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4137
(336) 718-3960
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-3960
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016-01519
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2013
Last updated
10/25/2020
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