MARK ALAN SMITH

WINSTON SALEM, NC
NPI1639161029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  096869)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  APN 323)
Enumeration Date2005-08-22
Last Update Date2020-10-28
Business Address
Mr. MARK ALAN SMITH CRNA
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103-3013
Phone number: 336-718-8278
Mailing Address
Mr. MARK ALAN SMITH CRNA
5155 LAUREL VIEW DR
WINSTON SALEM, NC 27104-5101
Phone number: 336-774-6631
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