Individual
DR. JOHN ALBERT SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C., CCSP,PA
Contact information
Practice address
2926 CAPITAL BLVD, RALEIGH, NC 27604-3235
(919) 878-8848
(919) 878-8863
Mailing address
2926 CAPITAL BLVD, RALEIGH, NC 27604-3235
(919) 878-8848
(919) 878-8863
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1412
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8908800
—
NC
Enumeration date
08/31/2005
Last updated
07/08/2007
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