Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caleb Revell Phillips Smack

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033912407

Caleb Revell Phillips Smack is a Student in an Organized Health Care Education/Training Program in Winston Salem, North Carolina. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1 Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-2011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1033912407
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

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