Doctor Name: | KAREN G SMITH |
NPI Number: | 1033125448 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNPC |
License Number: | 201381 |
Business Practice Address: | 249 Oak St Forest City, NC - 280433585 |
Business Phone Number: | 8282453158 |
Business Fax Number: | 8282476484 |
Mailing Address: | Po Box 601884, CHARLOTTE |
State: | NC |
Postal Code: | 282601884 |
Phone Number: | 8282453158 |
Fax Number: | 8282476484 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 02/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201381 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |