Smith, Gordon Hilton

Smith, Gordon Hilton is an individual health care provider with primary practice located at 4701 Fayetteville Rd , Lumberton NC 28358-2697. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smith, Gordon Hilton can be contacted via phone (910) 739-9755.

Contact Information

Primary practice address
4701 Fayetteville Rd Lumberton NC 28358-2697
Fax: (910) 739-9788
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 407 North Carolina

Profile Details

NPI number 1588761886
LBN Legal business name Smith, Gordon Hilton
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 16th, 2011 - about 14 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 1588761886 NPPES
North Carolina MEDICAID 6111783
North Carolina Other 407

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