Individual ProviderMarilyn G SmithNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address14230 Hunters Rd, Huntersville, NC 28078-7335(704) 947-6858(704) 987-0748PECOS EnrollmentBased on the most recent information from CMS, provider Marilyn G Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:49 AM.Profile DetailsProvider ID1255306510Provider TypeIndividualFull NameSmith, Marilyn GCredentialNPGenderFemaleSole ProprietorNoEnumeration Date2/21/2006Last Updated9/26/2008Contact InformationPractice LocationPractice Address14230 Hunters Rd, Huntersville, NC 28078-7335Phone(704) 947-6858FaxUnlisted FaxMailing LocationMailing Address19518 Crosstree Ln, Cornelius, NC 28031-5708Phone(704) 987-0748FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense200641North Carolina