Individual
DR. DAVID NATHANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-5027
(336) 716-6674
(336) 716-9188
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
040971
CT
207R00000X
Internal Medicine Physician
2007-01837
NC
207RC0000X
Cardiovascular Disease Physician
Primary
2007-01837
NC
2084P0800X
Psychiatry Physician
040971
CT
2084P0800X
Psychiatry Physician
1837
NC
2084P0802X
Addiction Psychiatry Physician
040971
CT
2084P0802X
Addiction Psychiatry Physician
1837
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912354
—
NC
01
—
N01837
SC MEDICAID
SC
01
—
P00687838
RR MEDICARE
NC
01
—
P00755253
RR MEDICARE SANGER
NC
Enumeration date
09/15/2006
Last updated
07/10/2023
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