MEDICARE: DR. FRANCES A OWL-SMITH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	33597	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00115320	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	135WJ	OTHER	NC	BCBS OF NC

General Provider Information

NPI Number	:	1235132853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCES A OWL-SMITH MD

Provider Business Mailing Address
First Line	:	PO BOX 868
Second Line	:
City	:	CLYDE
State	:	NC
Zip	:	28721-0868
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	262 LEROY GEORGE DR
Second Line	:
City	:	CLYDE
State	:	NC
Zip	:	28721-7430
Country	:	US
Telephone Number	:	828-452-8116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	03/10/2008

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