Individual
CANDACE T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3511 W MARKET ST STE 250, GREENSBORO, NC 27403-4445
(336) 852-3800
(336) 852-5725
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 852-3800
(336) 852-5725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33143
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74263
MEDCOST
NC
01
—
77267
BCBS OF NC
NC
05
—
8977267
—
NC
Enumeration date
07/05/2006
Last updated
06/24/2024
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