Provider Demographics
NPI:1093551012
Name:SILVERSMITH, LLC
Entity type:Organization
Organization Name:SILVERSMITH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEORR
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:817-271-5728
Mailing Address - Street 1:1705 BICKETT BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-2543
Mailing Address - Country:US
Mailing Address - Phone:817-271-5728
Mailing Address - Fax:
Practice Address - Street 1:1100 REVOLUTION MILL DR STE 10
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5067
Practice Address - Country:US
Practice Address - Phone:817-271-5728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty