Organization
HSTRIAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROOSEVELT SMITH MD (OWNER)
(336) 235-4022
Entity
Organization
Contact information
Practice address
4518 W MARKET ST, SUITE A, GREENSBORO, NC 27407-1542
(336) 235-4022
(336) 235-4023
Mailing address
4518 W MARKET ST, SUITE A, GREENSBORO, NC 27407-1542
(336) 235-4022
(336) 235-4023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/24/2011
Last updated
07/20/2011
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