Individual
HOLLY GWEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6488 WEDDINGTON-MONROE RD, WESLEY CHAPEL, NC 28104-6277
(704) 384-8460
(704) 384-1018
Mailing address
6115 PARK SOUTH DR, SUITE 105, CHARLOTTE, NC 28210-3269
(704) 944-8388
(704) 944-8389
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005-00116
NC
Other
Enumeration date
11/21/2006
Last updated
10/25/2020
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