Individual
MR. AMOS HEDRICK SMITH JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 INDIAN WELLS CIR, LEXINGTON, NC 27295-8670
(336) 956-1488
Mailing address
301 INDIAN WELLS CIR, LEXINGTON, NC 27295-8670
(336) 956-1488
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
059385
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050155
—
NC
Enumeration date
06/05/2006
Last updated
07/08/2007
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