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Individual

MRS. ELIZABETH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2347 SIMONTON RD, STATESVILLE, NC 28625-8246
(704) 873-4719
Mailing address
2105 21ST ST SE APT 14, HICKORY, NC 28602-3571
(843) 813-4171

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011328
NC

Other

Enumeration date
01/24/2019
Last updated
01/24/2019
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