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NPI Code Detail

MEDICARE: ERIC SMITH MA

MEDICARE: ERIC SMITH MA
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
1101YM0800XMental Health CounselorA22501NC

General Provider Information

NPI Number : 1720938434
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC SMITH MA
Provider Business Mailing Address
First Line : 1591 CHAMBERS LOOP RD
Second Line :
City : TIMBERLAKE
State : NC
Zip : 27583-9083
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1735 GUESS RD
Second Line :
City : DURHAM
State : NC
Zip : 27701-1163
Country : US
Telephone Number : 919-514-3566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ ERIC SMITH MA” Practice Location

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