Individual
DONNA MARIE WADE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 S FAYETTEVILLE ST, SALEMBURG, NC 28385-8406
(910) 567-6194
Mailing address
9010 DUNN RD, GODWIN, NC 28344-8488
(910) 818-3316
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5017061
NC
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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