Individual
MR. DAN C SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2230 MEMORIAL PARK DR, SPARTA, NC 28675-9665
(336) 372-5897
Mailing address
2230 MEMORIAL PARK DR, SPARTA, NC 28675-9665
(336) 372-5897
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
022878
NC
Other
Enumeration date
08/09/2005
Last updated
02/16/2011
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