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1972382661
DERRICK LAVON SMITH
RALEIGH, NC
NPI
1972382661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-13504)
Enumeration Date
2023-09-22
Last Update Date
2024-02-19
Business Address
Mr. DERRICK LAVON SMITH PA-C
4420 LAKE BOONE TRL
RALEIGH, NC 27607-7505
Phone number: 919-784-3100
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Mailing Address
Mr. DERRICK LAVON SMITH PA-C
4420 LAKE BOONE TRL
RALEIGH, NC 27607-7505
Phone number: 704-340-7223
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