Basic Information
| Provider Information | |||||||||
| NPI: | 1508068776 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SMITHERMAN | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 170 MANNING DRIVE 1185A PHYSICIANS OFFICE | ||||||||
| Address2: | CB#7236 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199661178 | ||||||||
| FaxNumber: | 9199667629 | ||||||||
| Practice Location | |||||||||
| Address1: | 5034 OLD CLINIC BUILDING CB7110 | ||||||||
| Address2: | DIVISION OF GENERAL MEDICINE - HOSPITAL MEDICINE PROGRA | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199663204 | ||||||||
| FaxNumber: | 9199663766 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2007 | ||||||||
| LastUpdateDate: | 07/03/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 2011-00102 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 2011-00102 | NC | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0207X | 2011-00102 | NC | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology |
No ID Information.