Smart, Carl Andre

Smart, Carl Andre is an individual health care provider with primary practice located at 2000 Wellness Blvd Suite 130, Monroe NC 28110-3354. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Smart, Carl Andre can be contacted via phone (704) 316-2154.

Contact Information

Primary practice address
2000 Wellness Blvd Suite 130 Monroe NC 28110-3354
Fax: (704) 316-2159
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9400640 North Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 9400640 North Carolina

Profile Details

NPI number 1518986652
LBN Legal business name Smart, Carl Andre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 25th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518986652 NPPES
South Carolina MEDICAID N00640
South Carolina MEDICAID 8977165

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