Sean Smith
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Wingate, NC
NPI 1760935704 · NPPES record last updated Jul 26, 2016
Key facts
- NPI
- 1760935704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 415 Witmore Rd
Wingate, NC 28174-9710 - Phone
- (704) 221-5456
- NPI assigned
- Jul 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
415 Witmore Rd
Wingate, NC 28174-9710
Mailing address
415 Witmore Rd
Wingate, NC 28174-9710
Phone (704) 221-5456
Other providers in Wingate, NC
- Avery Elizabeth Rogers
- Leopold Kenneth Salzer IV
- Savannah Cassidy Sexton
- Stephen Tyler Shultz
- Timothy Singleton
- Social Butterflies Care
- Social Butterfly Community Care
- Andrew Sorenson
- Rashonda Lakeisha Sturdivant
- Tara Talley
All providers in Wingate, NC · Student in an Organized Health Care Education/Training Program 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 Jul 26, 2016. 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.