Individual
SUSAN LORAINE SMOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1341 PARADISE RD, EDENTON, NC 27932-8503
(252) 482-7481
Mailing address
263 BINGHAM RD, SOUTH MILLS, NC 27976-9765
(919) 928-8188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5018414
NC
363L00000X
Nurse Practitioner
Primary
5018414
NC
Other
Enumeration date
07/13/2023
Last updated
01/13/2026
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