Individual
MICHAEL CLYDE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
68 HOSPITAL RD, SYLVA, NC 28779-2722
(828) 631-1725
(828) 586-7449
Mailing address
295 DILLS BRANCH RD, SYLVA, NC 28779-7731
(828) 586-7000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
31836
NC
367500000X
Certified Registered Nurse Anesthetist
031836
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235131E
SWAIN CRNA
NC
01
—
260293
CIGNA
NC
01
—
31836
STATE LICENSE
NC
01
—
430078149
HARRIS RR
NC
01
—
430079568
SWAIN RR
NC
05
—
8000180
—
NC
05
—
8000315
—
NC
01
—
8049940
EDS CRNA
NC
Enumeration date
10/10/2006
Last updated
05/21/2012
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