Individual
JEFF SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2800 SAINT LEO ST, GREENSBORO, NC 27405-3382
(336) 621-9500
(336) 621-0980
Mailing address
2800 SAINT LEO ST, GREENSBORO, NC 27405-3382
(336) 621-9500
(336) 621-0980
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1637
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703191
—
NC
Enumeration date
08/15/2007
Last updated
07/24/2008
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