Individual
DR. JEAN CHARLOTTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 SUNNYBROOK ROAD, WAKE COUNTY HUMAN SERVICES, RALEIGH, NC 27610-1808
(919) 250-4483
(919) 212-8399
Mailing address
10 SUNNYBROOK RD, WAKE COUNTY HUMAN SERVICES, RALEIGH, NC 27610-1808
(919) 250-4483
(919) 212-8399
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
27976
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8977831
—
NC
Enumeration date
09/20/2006
Last updated
07/09/2007
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