Individual
DEMETRIC SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 KANDEMOR LN, ROCKY MOUNT, NC 27804-3212
(252) 443-5116
Mailing address
113 KANDEMOR LN, ROCKY MOUNT, NC 27804-3212
(252) 443-5116
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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