Individual provider · Type 1 NPI

Laney Fowlkes Smith

Student in an Organized Health Care Education/Training Program · Charlotte, NC

NPI number 1629889001 Active

Practice location

1025 Morehead Medical Dr Ste 300
Charlotte, NC 28204-2966

Call (704) 446-2772 Map

Fax (704) 355-2467

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629889001

Laney Fowlkes Smith's National Provider Identifier is 1629889001, issued on Jan 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlotte, NC. The record was last updated on Apr 27, 2026.