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Individual

JENNIFER LYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 277-8800
(336) 277-8850
Mailing address
PO BOX 60516, CHARLOTTE, NC 28260-0516

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0010-07663
NC
363A00000X
Physician Assistant
Primary
0010-07663
NC

Other

Enumeration date
10/19/2017
Last updated
05/17/2022
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