Individual
DR. JOHN B. SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 FAIRVIEW ST, CLINTON, NC 28328-2399
(910) 592-6011
(910) 592-0817
Mailing address
403 FAIRVIEW ST, CLINTON, NC 28328-2311
(910) 592-6011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00-21870
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00369135
—
NC
01
—
0138819
UNITED HEALTHCARE
NC
01
—
30927
MEDCOST
NC
01
—
560955090F
CIGNA
NC
01
—
5807381
AETNA
NC
01
—
77854
NC BLUE CROSS BLUE SHIELD
NC
Enumeration date
06/29/2006
Last updated
10/18/2019
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