Individual
ANDREW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 901-1451
Mailing address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 901-1451
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
80554
NC
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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