Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 7459 | NC |
NPI | 1134147168 |
---|---|
Provider Name | Dr. Robin Elaine Mcgurkin-Smith |
First Address | Winston Salem, NC 27103 |
Second Address | Winston Salem, NC 27103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 08/07/2007 |