James Luther Smalley IV, IDMT- 18D-ATP
Individual provider Active NPI Independent Duty Medical Technicians · Hoffman, NC
NPI 1104503267 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1104503267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- BLDG T3358 18TH Special Forces Way
Hoffman, NC 28347 - Phone
- (910) 396-8115
- NPI assigned
- Jun 30, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
BLDG T3358 18TH Special Forces Way
Hoffman, NC 28347
Mailing address
2817 Reilly St
Fort Liberty, NC 28310-7324
Phone (910) 396-8115
Other providers in Hoffman, NC
- Todd C Briske
- William Russell Butler
- Cynthia Wells McLemore
- Tytionna Latae Forrest
- Rha Health Services NC, LLC
All providers in Hoffman, NC · Independent Duty Medical Technicians in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.