Individual
JUSTIN NORWOOD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
611 N 35TH ST, MOREHEAD CITY, NC 28557-3126
(252) 222-5700
(252) 222-5705
Mailing address
1101 WOODS CT, MOREHEAD CITY, NC 28557-9643
(910) 398-0341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05447
NC
Other
Enumeration date
12/30/2014
Last updated
12/11/2015
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