Individual
DR. CAROL MARUNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2122
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122
STATE LICENSE
NC
Enumeration date
10/03/2006
Last updated
10/28/2022
Update your record
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