Smith, David Perry

Smith, David Perry is an individual health care provider with primary practice located at 3614 Providence Rd S Ste 200 , Waxhaw NC 28173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, David Perry can be contacted via phone (704) 384-8640.

Contact Information

Primary practice address
3614 Providence Rd S Ste 200 Waxhaw NC 28173
Phone: (704) 384-8640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14467 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2018-02766 North Carolina

Profile Details

NPI number 1144310624
LBN Legal business name Smith, David Perry
Credentials MD, FAAFP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Feb 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144310624 NPPES
Mississippi MEDICAID 0113837

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