Individual provider · Type 1 NPI

William Benjamin Smith Iii, PA-C

Medical Physician Assistant · Winston-Salem, NC

NPI number 1114987971 Active

Practice location

190 Kimel Park Dr
Winston-Salem, NC 27103-6946

Mailing address

3013 Spillman Frye Ln
East Bend, NC 27018-8486

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X103175 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1114987971

William Benjamin Smith Iii, PA-C's National Provider Identifier is 1114987971, issued on Mar 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winston-Salem, NC. The record was last updated on Jul 13, 2026.