Individual
DR. LENWOOD PERKINS SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1417 W PETTIGREW ST, DURHAM, NC 27705-4898
(919) 286-7705
Mailing address
210 GREEN RD, FRANKLIN, TN 37069-7150
(615) 636-9050
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
15420
SC
207T00000X
Neurological Surgery Physician
2013-02164
NC
208600000X
Surgery Physician
2013-02164
NC
208D00000X
General Practice Physician
Primary
2013-02164
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154200
—
SC
05
—
1750348777
—
NC
01
—
18426
BCBS NC
NC
Enumeration date
04/26/2006
Last updated
09/26/2023
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