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MRS. VICTORIA EDWARDS SMITH OBNP

Obstetrics & Gynecology >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1336144518

Individual Registrant:
MRS. VICTORIA EDWARDS SMITH OBNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
25 COURTHOUSE DR. NE BOX 9 BOLIVIA, NC 28422-7582 US
Tel: 910-253-2250  Fax: 910-253-2370

Contact information for business:
PO BOX 9  BOLIVIA, NC 28422-0009 US
Tel: 910-253-2250  Fax: 910-253-2370

Registration Information:
NPI: 1336144518
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LX0001XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Obstetrics & Gynecology
NC800037

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DEA0800037NC01




HEALTH CARE JOBS NC - Page 1



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