Individual
CULLEN DANE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MEDICAL CENTER BLVD DEPARTMENT OF OBGYN, WINSTON SALEM, NC 27157-0001
(336) 716-4615
(336) 716-6397
Mailing address
ONE MEDICAL CENTER BLVD WINSTON SALEM NC 27157, WINSTON SALEM, NC 27157-0001
(336) 716-4615
(336) 716-6397
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
03/21/2024
Last updated
11/01/2024
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