DERRICK LAVON SMITH

RALEIGH, NC
NPI1972382661
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-13504)
Enumeration Date2023-09-22
Last Update Date2024-02-19
Business Address
Mr. DERRICK LAVON SMITH PA-C
4420 LAKE BOONE TRL
RALEIGH, NC 27607-7505
Phone number: 919-784-3100
Mailing Address
Mr. DERRICK LAVON SMITH PA-C
4420 LAKE BOONE TRL
RALEIGH, NC 27607-7505
Phone number: 704-340-7223