TERESA A SMITH MD PA NPI 1336268937

NPI Information

TERESA A SMITH MD PA is a primary care clinic center in Greenville, NC. TERESA A SMITH MD PA NPI is 1336268937. The provider is registered as an organization entity type.
The provider Is Doing Business As Med Center 1.

The provider's business location address is:

1688 E ARLINGTON BLVD
GREENVILLE, NC
ZIP 27858-871
Phone: (252) 353-1464
Fax: (252) 353-1272

The provider's authorized official is Joyce Smith .
The authorized official title is Business Manager and has the following contact phone number (252) 353-1464.

The CLIA number assigned to this NPI record is 34D0242116 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/28/2007 and was last updated on 6/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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