Individual
ELEANOR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-4081
(336) 716-3065
Mailing address
5623 WESTWOOD CT, BLOOMFIELD HILLS, MI 48301-1244
(248) 535-0262
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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