MEDICARE: DAMIEN SMITH

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1912851551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMIEN SMITH

Provider Business Mailing Address
First Line	:	334 LELAND CREST DR
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27539-6285
Country	:	US
Telephone Number	:	919-421-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	334 LELAND CREST DR
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27539-6285
Country	:	US
Telephone Number	:	919-421-7100
Fax Number	:

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

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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Directions to “ DAMIEN SMITH ” Practice Location

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