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Individual

DR. STANTON JAMES SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5113 PIPER STATION DR, SUITE 207, CHARLOTTE, NC 28277-6689
(704) 541-5200
Mailing address
350 PEE DEE AVE, SUITE A, ALBEMARLE, NC 28001-4932
(704) 986-1500

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33309
NC
2084P0804X
Child & Adolescent Psychiatry Physician
33309
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890573G
NC
Enumeration date
02/10/2006
Last updated
03/03/2014
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