Individual
CHARLES N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(614) 459-7830
(614) 459-7824
Mailing address
3366 RIVERSIDE DRIVE, SUITE 200, COLUMBUS, OH 43221
(614) 459-7830
(614) 459-7824
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-123875
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0756383
—
OH
Enumeration date
07/10/2006
Last updated
07/09/2007
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