Individual
BRYAN D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4102 BEN FRANKLIN BLVD, DURHAM, NC 27704-2140
(919) 972-7700
(910) 216-0179
Mailing address
PO BOX 1630, PINEHURST, NC 28370-1630
(910) 295-6007
(910) 215-0179
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200201531
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376R
BLUE CROSS BLUE SHIELD
NC
05
—
891376R
—
NC
Enumeration date
01/24/2007
Last updated
08/27/2013
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