Individual
ERIN MANCUSO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200400232
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136UG
BCBSNC
NC
05
—
89-136UG
—
NC
01
—
P00155311
RR MEDICARE
NC
05
—
Q00234
—
SC
Enumeration date
05/31/2006
Last updated
12/05/2023
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