Individual
SAMUEL ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
6260
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
848542
TX
Other
Enumeration date
07/12/2018
Last updated
06/15/2026
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