Smoak, Mary M

Smoak, Mary M is an individual health care provider with primary practice located at Medical Center Blvd , Winston-Salem NC 27157-0001. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Smoak, Mary M can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston-Salem NC 27157-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L001249 North Carolina

Profile Details

NPI number 1073597449
LBN Legal business name Smoak, Mary M
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Dec 18th, 2007 - about 17 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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