Provider Demographics
NPI:1669132692
Name:SMITH, MONICA SHEVOCK (PA-C)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:SHEVOCK
Last Name:SMITH
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2501 ATRIUM DR STE 305
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6452
Mailing Address - Country:US
Mailing Address - Phone:919-235-0216
Mailing Address - Fax:919-235-0217
Practice Address - Street 1:2501 ATRIUM DR STE 305
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6452
Practice Address - Country:US
Practice Address - Phone:919-235-0216
Practice Address - Fax:919-235-0217
Is Sole Proprietor?:No
Enumeration Date:2021-12-17
Last Update Date:2025-01-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant