Dr David Perry Smith, MD, FAAFP | |
3614 Providence Rd S Ste 200, Waxhaw, NC 28173 | |
(704) 384-8640 | |
Not Available |
Full Name | Dr David Perry Smith |
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Gender | Male |
Speciality | Family Medicine |
Location | 3614 Providence Rd S Ste 200, Waxhaw, 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 |
---|---|---|---|
1144310624 | NPI | - | NPPES |
0113837 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 14467 (Mississippi) | Secondary |
207Q00000X | Family Medicine | 2018-02766 (North Carolina) | Primary |
Entity Name | Pinnacle Medical Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043493851 PECOS PAC ID: 4183612740 Enrollment ID: O20080715000283 |
Mailing Address | Practice Location Address |
---|---|
Dr David Perry Smith, MD, FAAFP Po Box 60447, Charlotte, NC 28260-0447 Ph: (844) 266-8268 | Dr David Perry Smith, MD, FAAFP 3614 Providence Rd S Ste 200, Waxhaw, NC 28173 Ph: (704) 384-8640 |
Dr. David Alan Croland, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 216 West North Main Street, Waxhaw, NC 28173 Phone: 704-243-7106 | |
Dr. Thao Phuong Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3614 S Providence Rd Ste 200, Waxhaw, NC 28173 Phone: 704-384-8640 Fax: 704-384-8650 | |
Jody Dale Holler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Providence Rd S, Ste 300, Waxhaw, NC 28173 Phone: 704-243-2254 | |
Kavita Shanker-patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3614 Providence Rd S Ste 200, Waxhaw, NC 28173 Phone: 704-384-8640 Fax: 704-384-8650 | |
Howard M Guthmann Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3614 Providence Rd S Ste 200, Waxhaw, NC 28173 Phone: 704-384-8640 Fax: 704-384-8650 | |
Matthew Millikan Verrill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Providence Rd S, Ste 300, Waxhaw, NC 28173 Phone: 704-243-2254 |