Provider Demographics
NPI:1144628967
Name:SMITH, JAMES ARTHUR III (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ARTHUR
Last Name:SMITH
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:ARTHUR
Other - Last Name:SMITH
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3228 SEAGRASS CT
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NC
Mailing Address - Zip Code:28461-7588
Mailing Address - Country:US
Mailing Address - Phone:910-253-9254
Mailing Address - Fax:910-253-9256
Practice Address - Street 1:3228 SEAGRASS CT
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NC
Practice Address - Zip Code:28461-7588
Practice Address - Country:US
Practice Address - Phone:910-253-9254
Practice Address - Fax:910-253-9256
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3548208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL424473616AMedicare PIN