Individual
STEPHEN WAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4414 LAKE BOONE TRL STE 505, RALEIGH, NC 27607-7521
(919) 784-2300
Mailing address
4414 LAKE BOONE TRL STE 505, RALEIGH, NC 27607-7521
(919) 784-2300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18719
NC
207RC0000X
Cardiovascular Disease Physician
Primary
18719
NC
Other
Enumeration date
02/13/2006
Last updated
11/10/2021
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