Individual
GREGORY E. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GREEN VALLEY ROAD, SUITE 304, GREENSBORO, NC 27408
(336) 282-4840
(336) 282-4660
Mailing address
600 GREEN VALLEY ROAD, SUITE 304, GREENSBORO, NC 27408
(336) 282-4840
(336) 282-4660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25438
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5714630
—
VA
01
—
77664
BCBS
NC
05
—
8977664
—
NC
01
—
P00969102
RAILROAD-MEDICARE
NC
Enumeration date
05/13/2006
Last updated
11/19/2011
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