Organization
SMITHFIELD PULMONOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIR M ALI PULMONOLOGIST (MD)
(919) 989-1800
Entity
Organization
Contact information
Practice address
706 WILKINS ST STE A, SMITHFIELD, NC 27577-4662
(919) 989-1800
(919) 989-1802
Mailing address
706 WILKINS ST STE A, SMITHFIELD, NC 27577-4662
(919) 989-1800
(919) 989-1802
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
02016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136U4
BLUE SHIELD OF NC
NC
05
—
89136U4
—
NC
Enumeration date
04/03/2007
Last updated
08/22/2020
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