Provider Demographics
NPI:1730366519
Name:SMITH, WILLIAM GEORGE JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GEORGE
Last Name:SMITH
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1701 WESTCHESTER DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:4515 PREMIER DRIVE
Practice Address - Street 2:SUITE 401
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8350
Practice Address - Country:US
Practice Address - Phone:336-802-2240
Practice Address - Fax:336-802-2241
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2019-12-06
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Provider Licenses
StateLicense IDTaxonomies
NC390200000X207R00000X
NC2008-00894207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5909942Medicaid
NC2022637Medicare PIN
NC5909942Medicaid