Doctor Name: | DONNA CORINNE SMITH |
NPI Number: | 1174681258 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 201584 |
Business Practice Address: | 163 Medical Park Dr Suite 210 Siler City, NC - 273446790 |
Business Phone Number: | 9197426032 |
Business Fax Number: | 9196633018 |
Mailing Address: | Po Box 567, SILER CITY |
State: | NC |
Postal Code: | 273440567 |
Phone Number: | 9197421010 |
Fax Number: | 9196633018 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201584 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |