Organization
GERICARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A HENRY-SMITH MD (OWNER)
(336) 293-3371
Entity
Organization
Contact information
Practice address
409 NORTH ESTES DRIVE, CHAPEL HILL, NC 27514
(919) 477-5152
(919) 477-5474
Mailing address
PO BOX 15133, DURHAM, NC 27704-0133
(919) 477-5152
(919) 477-5474
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
145913
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912836
—
NC
01
—
DN8487
MEDICARE RAILROAD
NC
01
—
P00642196
MEDICARE RAILROAD
NC
Enumeration date
12/12/2007
Last updated
01/28/2010
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