Individual
MR. FRED ALLEN SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C
Contact information
Practice address
4944 GREENSBORO RD, RIDGEWAY, VA 24148-3390
(276) 956-2233
Mailing address
1007 SUMMIT AVE, GREENSBORO, NC 27405-7007
(336) 200-7010
(704) 710-8592
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178098
VA
Other
Enumeration date
08/25/2019
Last updated
11/25/2019
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