Individual
ELVIS GODFREY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2165 MEDICAL PARK DR, HICKORY, NC 28602-8809
(828) 324-2800
Mailing address
2165 MEDICAL PARK DR, HICKORY, NC 28602-8809
(828) 324-2800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08541
NC
363A00000X
Physician Assistant
1168
NH
Other
Enumeration date
05/05/2016
Last updated
01/04/2019
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