Individual
GREGORY WILKINSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 546-6400
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(800) 749-5191
(410) 630-7685
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C0007057
MD
363A00000X
Physician Assistant
Primary
C0007057
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0007057
MEDICAL LICSENSE
MD
Enumeration date
12/18/2018
Last updated
12/20/2018
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