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
Phone: (910) 739-9755
Fax: (910) 739-9788
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588761886 | NPPES |
North Carolina | MEDICAID | 6111783 | |
North Carolina | Other | 407 |
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