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1114490687
ELIZABETH BROOKE JOHNSON SMITH
CHARLOTTE, NC
NPI
1114490687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NC 0010-08724)
Enumeration Date
2019-01-08
Last Update Date
2021-01-27
Business Address
ELIZABETH BROOKE JOHNSON SMITH PA-C
225 BALDWIN AVE
CHARLOTTE, NC 28204-3109
Phone number: 704-376-1605
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Mailing Address
ELIZABETH BROOKE JOHNSON SMITH PA-C
225 BALDWIN AVE
CHARLOTTE, NC 28204-3109
Phone number: 704-376-1605
Copy
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