Individual
KERI LYNNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
1711 HAWKCREST LN, WINSTON SALEM, NC 27127-4868
(936) 446-8723
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2015-02318
NC
Other
Enumeration date
06/09/2014
Last updated
09/16/2019
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