NPI 1871862912

Edwin Ballard Smith

Practitioner Contractor Lillington, NC

Practice location

Address: 811 S 12th St, Lillington, NC 27546-6865
Phone: (866) 825-5057
Fax: (866) 636-0357

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in North Carolina →

Registry record

NPI: 1871862912
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2011
Record last updated: 19 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.