Individual
NATHAN EMORY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
125 COMMONWEALTH DR, GREENVILLE, SC 29615-4812
(864) 675-4000
Mailing address
125 COMMONWEALTH DR, GREENVILLE, SC 29614-4812
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
18639
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100782
CRNA CERTIFICATION NUMBER
—
05
—
PENDING
—
SC
Enumeration date
12/10/2013
Last updated
10/17/2023
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