Individual
HANNAH LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 NEW GARDEN RD, GREENSBORO, NC 27410-2721
(336) 294-6190
Mailing address
WAKE FOREST BAPTIST HEALTH MEDICAL CENTER BLVD, PIEDMONT PLAZA FAMILY MEDICINE CLINIC, WINSTON SALEM, NC 27157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024-00427
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/23/2021
Last updated
11/13/2024
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