Organization
NORTH CAROLINA MOBIEL ULTRASOUND,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL D SMITH SR. (PRESIDENT)
(336) 245-2670
Entity
Organization
Contact information
Practice address
1317 ASHLEYBROOK LN, WINSTON SALEM, NC 27103-2918
(336) 245-2670
(336) 245-2017
Mailing address
1317 ASHLEYBROOK LN, WINSTON SALEM, NC 27103-2918
(336) 245-2670
(336) 245-2017
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016Y9
BLUE CROSS AND BLUE SHIEL
NC
05
—
8105017
—
NC
Enumeration date
05/18/2006
Last updated
08/22/2020
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