Individual
DR. ROBERT LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 ROCKFORD ST, MOUNT AIRY, NC 27030-5322
(336) 719-7124
(336) 719-7457
Mailing address
PO BOX 21156, ROANOKE, VA 24018-0117
(540) 767-2700
(540) 767-2708
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
14858
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8910054
—
NC
Enumeration date
05/27/2005
Last updated
07/08/2007
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