Individual
ALLEN T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2527 E LYON STATION RD, CREEDMOOR, NC 27522-9112
(919) 528-1535
Mailing address
PO BOX 3559, DURHAM, NC 27702-3559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904144
—
NC
Enumeration date
07/17/2006
Last updated
10/10/2007
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