Mrs. Wanda D Smith
Orthotic Fitter
2302 Wayne Memorial Dr
Goldsboro
, North Carolina 27534-1726
Mrs. Wanda D Smith
Orthotic Fitter
2302 Wayne Memorial Dr
Goldsboro
, North Carolina 27534-1726
(919) 735-3001
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mrs. Wanda D Smith
- 2302 Wayne Memorial Dr
- Goldsboro, NC
- Zip : 27534-1726
- Fax : (919) 735-3001
- Phone : (919) 735-6936
Second Address
- Mrs. Wanda D Smith
- 2302 Wayne Memorial Dr
- Goldsboro, NC
- Zip : 27534-1726
- Fax : (919) 735-3001
- Phone : (919) 735-6936
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | 7795203 | NC |
National Provider Identifier
| NPI | 1669677522 |
|---|---|
| Provider Name | Mrs. Wanda D Smith |
| First Address | Goldsboro, NC 27534-1726 |
| Second Address | Goldsboro, NC 27534-1726 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7795203 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.