Provider Demographics
NPI:1477908846
Name:SMITH, JAMES KEITH (DPM)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:KEITH
Last Name:SMITH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 4383
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-4383
Mailing Address - Country:US
Mailing Address - Phone:910-295-9255
Mailing Address - Fax:910-295-7255
Practice Address - Street 1:325 PAGE RD N BLDG 3
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-4637
Practice Address - Country:US
Practice Address - Phone:919-751-9120
Practice Address - Fax:919-751-9170
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC700213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist