Provider Information for 1851942999
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JOSHUA CHARLES SMITH
Sex: Male
NPI: 1851942999
Last Updated: 2019-09-20
Certification Date:
Certification Date:
Details
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NPI | 1851942999 | ||||||||
Enumeration Date | 2019-09-20 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1142 BRIDFORD LAKE CIR APT F GREENSBORO, NC 27407-5173 United States Phone: 864-992-0741 | Fax: | ||||||||
Primary Practice Address | 7 OAK BRANCH DR STE C GREENSBORO, NC 27407-2392 United States Phone: 864-992-0741 | Fax: | ||||||||
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