Doctor Name: | WESLEY HUNTER SMITH |
NPI Number: | 1568764983 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 263324696 |
Business Practice Address: | 2806b Wooten Blvd Sw Wilson, NC - 278938624 |
Business Phone Number: | 2523156424 |
Business Fax Number: | 2529910554 |
Mailing Address: | Po Box 3109, WILSON |
State: | NC |
Postal Code: | 278953109 |
Phone Number: | 2523156424 |
Fax Number: | 2529910554 |
NPI Enumeration Date: | 11/18/2010 |
NPI Last Update Date: | 11/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 263324696 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |