Independence Medical, PA
Independence Medical, PA is a Geriatric Medicine (Family Medicine) Physician in Smithfield, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.
- Licensed in
- NC
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
515 Barbour RdSmithfield, NC 27577-7698
Phone: (919) 544-4747
Fax: (919) 544-0104
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Family Medicine) Physician (primary) | Taxonomy 207QG0300X · Licence 36493 (NC) |
|---|
Record details
| NPI number | 1700845112 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bernard Bennett — President · (919) 622-8272 |
| NPI enumerated | March 23, 2006 |
| Last updated in NPPES | October 31, 2013 |
| Mailing address | 1209 Falls Bridge Dr, Raleigh, NC 27614-8935 |