Organization
PIEDMONT NEONATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MCCRAE S SMITH MD (PRESIDENT)
(336) 478-1016
Entity
Organization
Contact information
Practice address
628 GREEN VALLEY ROAD, SUITE 210, GREENSBORO, NC 27408-7789
(336) 478-1016
(336) 851-1737
Mailing address
628 GREEN VALLEY ROAD, SUITE 210, GREENSBORO, NC 27408-7789
(336) 478-1016
(336) 851-1737
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908644
—
NC
Enumeration date
12/13/2007
Last updated
12/14/2011
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