Individual
PEYTON PLAYER SMOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(336) 277-0083
Mailing address
124 E GATE CITY BLVD, GREENSBORO, NC 27406-1457
(336) 553-6084
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6434
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396202941
—
NC
Enumeration date
03/01/2019
Last updated
02/10/2021
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