Individual
MS. CHAANTY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 B CROMWELL DRIVE, GREENVILLE, NC 27858-5436
(252) 830-2094
(252) 355-7358
Mailing address
700 B CROMWELL DRIVE, GREENVILLE, NC 27858-5436
(252) 830-2094
(252) 355-7358
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
A4714
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012AG
012AG
NC
01
—
561924070
TAX ID
NC
05
—
7492723
—
NC
Enumeration date
04/04/2007
Last updated
04/24/2008
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