| Collin Daniel Smith, DO | |
|
2707 Medical Office Pl, Goldsboro, NC 27534-9458 | |
| (740) 407-1040 | |
| (919) 735-0582 |
| Full Name | Collin Daniel Smith |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 2707 Medical Office Pl, Goldsboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932606464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 2023-01493 (North Carolina) | Primary |
| Entity Name | Unc Physicians Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Collin Daniel Smith, DO 2707 Medical Office Pl, Goldsboro, NC 27534-9458 Ph: (919) 735-9146 | Collin Daniel Smith, DO 2707 Medical Office Pl, Goldsboro, NC 27534-9458 Ph: (740) 407-1040 |
Dr. Michael Johnson, MD, FACS Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2707 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-735-9146 Fax: 919-735-0582 | |
Mrs. Marilyn G Wallace, LPN Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2707 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-735-9146 Fax: 919-735-0582 | |
Ms. Fawn Serene Callie, PA-C Otolaryngology Medicare: Medicare Enrolled Practice Location: 2707 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-735-9146 Fax: 919-735-0582 | |
Samuel P Davis Iii, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2707 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-735-9146 Fax: 919-735-0582 |