Individual
ALLAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3100 KEMBLE AVE, BRUNSWICK, GA 31520-4211
(334) 279-1450
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3942
SC
367500000X
Certified Registered Nurse Anesthetist
RN066827
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1996
—
SC
Enumeration date
08/23/2007
Last updated
09/30/2009
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