| Karen L.smith Md, Pa | |
|
929 West Prospect Avenue Raeford NC 28376-6197 | |
| (910) 904-1695 | |
| (901) 904-1767 |
| Full Name | Karen L.smith Md, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 929 West Prospect Avenue, Raeford, North Carolina |
| Authorized Official Name and Position | Karen Linnear Smith (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9109041695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen L.smith Md, Pa 929 West Prospect Avenue Raeford NC 28376-6197 Ph: (910) 904-1695 | Karen L.smith Md, Pa 929 West Prospect Avenue Raeford NC 28376-6197 Ph: (910) 904-1695 |
| NPI Number | 1609066158 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 03/04/2014 |
| Medicare PECOS PAC ID | 6608958319 |
|---|---|
| Medicare Enrollment ID | O20080201000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609066158 | NPI | - | NPPES |
| 8977236 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | NC33894 (North Carolina) | Primary |
| Provider Name | Karen Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033112164 PECOS PAC ID: 3072695782 Enrollment ID: I20080201000381 |
| Provider Name | Shannon Telis Merwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043918055 PECOS PAC ID: 5395100671 Enrollment ID: I20230421000466 |
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Cape Fear Valley Health-the Clinic At Walmart Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 Fayetteville Road, Raeford, NC 28376 Phone: 910-615-3100 Fax: 910-486-2154 | |
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