Collin Daniel Smith, DO | |
2707 Medical Office Pl, Goldsboro, NC 27534-9458 | |
(740) 407-1040 | |
(919) 735-0582 |
Full Name | Collin Daniel Smith |
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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 |
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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 | |
Dr. Daniel Whitley Jr., M.D., F.A.C.S. Otolaryngology Medicare: Accepting Medicare Assignments 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 |