Organization
PROGRESSIVE PAIN PARTNERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY LEE SMITH PA (OWNER)
(910) 617-4807
Entity
Organization
Contact information
Practice address
2508 N QUEEN ST, KINSTON, NC 28501-1631
(252) 522-0414
Mailing address
2508 N QUEEN ST, KINSTON, NC 28501-1631
(252) 522-0414
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790107357
INDIVIDUAL NPI
NC
Enumeration date
03/04/2019
Last updated
04/18/2019
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