Provider Demographics
NPI:1043897754
Name:SMITH, GABRIELLE KATHERINE (MD)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:KATHERINE
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 DURALEIGH RD STE 201
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5451
Mailing Address - Country:US
Mailing Address - Phone:919-784-6425
Mailing Address - Fax:
Practice Address - Street 1:3050 DURALEIGH RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5448
Practice Address - Country:US
Practice Address - Phone:919-784-6425
Practice Address - Fax:919-966-6377
Is Sole Proprietor?:No
Enumeration Date:2021-03-27
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2025-01596207VM0101X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program