Amy Lynn Smith

NPI 1790114114 - Physician Assistant - 363A00000X

NPI Details
NPI 1790114114
Gender Female
Enumeration Date 11/06/2013
Last Updated 11/06/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
924 N HOWE ST
SOUTHPORT NC, 28461-3038, US
Phone (910) 457-3800
Fax
Business Location
924 N HOWE ST
SOUTHPORT NC, 28461-3038, US
Phone (910) 457-3800
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Ms. Amy Lynn Smith NPI is 1790114114, taxonomy code is 363A00000X Amy Lynn Smith physically located at 924 N Howe St, Southport NC, 28461-3038. NPI Number Amy Lynn Smith has the Individual type.

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1790114114 NPI number is provided on an as is basis without warranty of any kind. 1790114114 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Lynn Smith are for informational purposes only.