Mrs Kimberley Smith, NP | |
623 Country Day Rd, Goldsboro, NC 27530-8888 | |
(919) 330-1940 | |
Not Available |
Full Name | Mrs Kimberley Smith |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 623 Country Day Rd, Goldsboro, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942612890 | NPI | - | NPPES |
MM3255862 | Other | NC | DEA |
5007058 | Other | NC | NP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5007058 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wayne Memorial Hospital | Goldsboro, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Carolina Anesthesia Associates Pllc | 5092720813 | 473 |
Entity Name | East Carolina Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kimberley Smith, NP 623 Country Day Rd, Goldsboro, NC 27530-8888 Ph: (919) 330-1940 | Mrs Kimberley Smith, NP 623 Country Day Rd, Goldsboro, NC 27530-8888 Ph: (919) 330-1940 |
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Mrs. Jennifer Potter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-736-1110 | |
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