| Doctor Name: | MRS. VICTORIA EDWARDS SMITH |
| NPI Number: | 1336144518 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OBNP |
| License Number: | 800037 |
| Business Practice Address: | 25 Courthouse Dr. Ne Box 9 Bolivia, NC - 284227582 |
| Business Phone Number: | 9102532250 |
| Business Fax Number: | 9102532370 |
| Mailing Address: | Po Box 9, BOLIVIA |
| State: | NC |
| Postal Code: | 284220009 |
| Phone Number: | 9102532250 |
| Fax Number: | 9102532370 |
| NPI Enumeration Date: | 06/15/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 800037 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |