Individual
DR. JOHN R SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 NEW BERN AVE, SUITE 301 - INTERNAL MEDICINE, RALEIGH, NC 27610-1247
(919) 350-7993
(919) 350-7988
Mailing address
3024 NEW BERN AVE, SUITE 300, RALEIGH, NC 27610-1247
(919) 350-8228
(919) 350-7976
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8977857
—
NC
Enumeration date
07/21/2006
Last updated
07/08/2007
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