Female

Allie S. Smith PA-C

Physician Assistant in Clemmons, NC(View on Map)

Full Name

Allie Stugart Smith PA-C

NPI Number

1154911519

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/20/2021

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

0010-11568

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 60447
6301 STADIUM DR

City

Charlotte
Clemmons

State

NC
NC

Postal Code

28260-0447
27012-8766

Country

US
US

Telephone Number

N/A
(336) 766-6473

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/22/2023

Provider Address

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