Provider Demographics
NPI:1750391314
Name:SMITH, KRISTI MARTIN (MD)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:MARTIN
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:267 S CHURTON ST
Mailing Address - Street 2:STE 100
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-2696
Mailing Address - Country:US
Mailing Address - Phone:336-584-3100
Mailing Address - Fax:336-584-0696
Practice Address - Street 1:1041 KIRKPATRICK ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8066
Practice Address - Country:US
Practice Address - Phone:336-584-3100
Practice Address - Fax:336-584-0696
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2021-08-17
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Provider Licenses
StateLicense IDTaxonomies
NC200500703207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13980OtherBLUE CROSS BLUE SHIELD
NC7165662OtherAETNA
NC0105788OtherUNITED HEALTHCARE
NC5182238OtherCIGNA
NCP00235756OtherRAILROAD MEDICARE
NCE2952OtherMEDCOST, LLC
NCP00235756OtherRAILROAD MEDICARE
NCI32216Medicare UPIN