Individual provider · Type 1 NPI

Carol Louise Smith, PA-C

Physician Assistant · Clementon, NJ

NPI number 1104225671 Active

Practice location

1387 Chews Landing Rd
Clementon, NJ 08021-2760

Fax (856) 842-5298

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00614200 (NJ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104225671

Carol Louise Smith, PA-C's National Provider Identifier is 1104225671, issued on Aug 20, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Clementon, NJ. The record was last updated on Oct 31, 2025.