Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 32288 | NC |
NPI | 1023192226 |
---|---|
Provider Name | Allen Orlin Smith |
First Address | Hickory, NC 28601-5036 |
Second Address | Hickory, NC 28601-5036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8977242 | (05) | NC |
C82304 | (02) | NC |