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
Phone: (704) 316-2154
Fax: (704) 316-2159
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518986652 | NPPES |
South Carolina | MEDICAID | N00640 | |
South Carolina | MEDICAID | 8977165 |
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