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NPI Code Detail

MEDICARE: DR. EDWARD SHIANG-LIN SMITH MD

MEDICARE: DR. EDWARD SHIANG-LIN 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
1207ND0900XDermatopathology Physician200100465NC
2207N00000XDermatology Physician200100465NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679577100
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD SHIANG-LIN SMITH MD
Provider Business Mailing Address
First Line : 4010 MENDENHALL OAKS PKWY
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-8076
Country : US
Telephone Number : 336-887-3195
Fax Number : 336-887-3194
Provider Business Practice Location Address
First Line : 4010 MENDENHALL OAKS PKWY
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-8076
Country : US
Telephone Number : 336-887-3195
Fax Number : 336-887-3194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 06/03/2025

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