Smith, Jarvis Wilton

Smith, Jarvis Wilton is an individual health care provider with primary practice located at 1234 Huffman Mill Rd , Burlington NC 27215-8700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Jarvis Wilton can be contacted via phone (336) 538-1234.

Contact Information

Primary practice address
1234 Huffman Mill Rd Burlington NC 27215-8700
Phone: (336) 538-1234
Fax: (336) 538-2390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 29174 North Carolina

Profile Details

NPI number 1760402713
LBN Legal business name Smith, Jarvis Wilton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jan 30th, 2013 - about 11 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 1760402713 NPPES
North Carolina MEDICAID 8911807

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