Provider Demographics
NPI:1033166103
Name:CALL SMITH, LLANA D (DC)
Entity Type:Individual
Prefix:DR
First Name:LLANA
Middle Name:D
Last Name:CALL SMITH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 N MAIN ST STE 207
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-3100
Mailing Address - Country:US
Mailing Address - Phone:704-817-4745
Mailing Address - Fax:844-828-4745
Practice Address - Street 1:32 N MAIN ST STE 207
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012
Practice Address - Country:US
Practice Address - Phone:704-817-4745
Practice Address - Fax:844-828-4745
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4528111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL38010410Medicaid
IL0006432011OtherBC/BS OF ILLINOIS
IL212591Medicare ID - Type Unspecified