person
Erich Waverly Smith, PA-C
Medical Physician Assistant in La Grange, North Carolina
NPI 1689996613

Erich Waverly Smith is a Medical Physician Assistant based in La Grange, NC and is specialized in Medical. Erich Waverly Smith practices in La Grange, NC and has the professional credentials of PA-C. The NPI Number for Erich Waverly Smith is 1689996613 and holds a License No. 102048 (North Carolina).

The current practice location address for Erich Waverly Smith is 2154 Sutton Hooten Ln, La Grange, NC and can be reached out via phone at 252-566-3298 and via fax at 252-566-2829.

Location: 2154 Sutton Hooten Ln, La Grange, NC, 28551-8252
person
Provider Profile Details
NPI Number
1689996613
Provider Name
Erich Waverly Smith
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2154 Sutton Hooten Ln, La Grange, NC, 28551-8252
Phone Number
252-566-3298
Fax Number
252-566-2829
Provider Enumeration Date
02/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102048 01 NC MEDICAL BOARD LICENSE
institution
Provider Business Practice Location Address Details
Address
2154 Sutton Hooten Ln
City
State
Zip
28551-8252
Phone Number
252-566-3298
Fax Number
252-566-2829
person
Provider Business Mailing Address Details
Address
2154 Sutton Hooten Ln
City
State
Zip
28551-8252
Phone Number
252-566-3298
Fax Number
252-566-2829
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
102048 (North Carolina)
Definition
Definition to come...
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