Smith, Gregory E
Smith, Gregory E is an individual health care provider with primary practice located at 1905 Skibo Road Suite 100, Fayetteville NC 28314-0261. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Smith, Gregory E can be contacted via phone (910) 864-4357.Contact Information
Primary practice address
1905 Skibo Road Suite 100
Fayetteville NC 28314-0261
Phone: (910) 864-4357
Fax: (910) 221-0099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 103971 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 145009 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 103971 | North Carolina |
Profile Details
| NPI number | 1285788679 |
|---|---|
| LBN Legal business name | Smith, Gregory E |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1285788679 | NPPES |
| North Carolina | Other | 103971 | LICENSE NUMBER |
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