Individual
MRS. HEATHERLY MORTON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23 SUNNYBROOK RD STE 316, RALEIGH, NC 27610-1874
(919) 350-6002
Mailing address
23 SUNNYBROOK RD STE 316, RALEIGH, NC 27610-1874
(919) 350-6002
(919) 350-6003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06182
NC
Other
Enumeration date
01/11/2016
Last updated
12/17/2020
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