Individual
MRS. MARLA KATHLEEN SMOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 PLEASANT HOME CHURCH RD, MILLERS CREEK, NC 28651-0972
(336) 838-2369
(336) 838-9904
Mailing address
PO BOX 972, MILLERS CREEK, NC 28651-0972
(336) 838-2369
(336) 838-9904
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0477J
BCBS
NC
05
—
7701210
—
NC
Enumeration date
01/20/2006
Last updated
06/11/2010
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