Organization
WILSON PSYCHIATRIC ASSOCIATES, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY G SMITH MD (OWNER)
(252) 237-8403
Entity
Organization
Contact information
Practice address
2401 WOOTEN BLVD SW STE J, WILSON, NC 27893-4464
(252) 237-8403
(252) 237-7443
Mailing address
2401 WOOTEN BLVD SW STE J, WILSON, NC 27893-4464
(252) 237-8403
(252) 237-7443
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20001292
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015V1
—
NC
Enumeration date
02/07/2007
Last updated
08/22/2020
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