IAN MICAH SMITH

WINSTON SALEM, NC
NPI1326333709
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-02918)
Enumeration Date2011-06-14
Last Update Date2011-10-07
Business Address
-- IAN MICAH SMITH PA-C
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
Mailing Address
-- IAN MICAH SMITH PA-C
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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