Provider Demographics
NPI:1124263041
Name:SMITH, YVONNE R
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:R
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 HOSPITAL DRIVE
Mailing Address - Street 2:HIGHLANDS-CASHIERS HOSPITAL
Mailing Address - City:HIGHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28741-0190
Mailing Address - Country:US
Mailing Address - Phone:828-526-1469
Mailing Address - Fax:828-526-1230
Practice Address - Street 1:190 HOSPITAL DRIVE
Practice Address - Street 2:HIGHLANDS-CASHIERS HOSPITAL
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741-0190
Practice Address - Country:US
Practice Address - Phone:828-526-1469
Practice Address - Fax:828-526-1230
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL001703133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered