| Erich Waverly Smith, PA-C | |
|
2154 Sutton Hooten Ln, La Grange, NC 28551-8252 | |
| (252) 566-3298 | |
| (252) 566-2829 |
| Full Name | Erich Waverly Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 31 Years |
| Location | 2154 Sutton Hooten Ln, La Grange, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689996613 | NPI | - | NPPES |
| 102048 | Other | NC | MEDICAL BOARD LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 102048 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolina East Medical Center | New bern, NC | Hospital |
| Wayne Memorial Hospital | Goldsboro, NC | Hospital |
| Vidant Medical Center | Greenville, NC | Hospital |
| Onslow Memorial Hospital | Jacksonville, NC | Hospital |
| Vidant Chowan Hospital | Edenton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Morcom Medical Consultants, Pllc | 4981773884 | 4 |
| Mailing Address | Practice Location Address |
|---|---|
| Erich Waverly Smith, PA-C 2154 Sutton Hooten Ln, La Grange, NC 28551-8252 Ph: (252) 566-3298 | Erich Waverly Smith, PA-C 2154 Sutton Hooten Ln, La Grange, NC 28551-8252 Ph: (252) 566-3298 |
John Thomas Moore, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2154 Sutton Hooten Ln, La Grange, NC 28551 Phone: 252-566-3298 Fax: 252-566-2829 |