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Individual

GREGORY SCOTT SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 783-4235
Mailing address
395 WELLINGTON ESTATES DR, CHINA GROVE, NC 28023-5763
(704) 857-8142

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
164500
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8051933
NC
Enumeration date
07/20/2006
Last updated
05/13/2016
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