Smith, Mccrae Sidney

Smith, Mccrae Sidney is an individual health care provider with primary practice located at 628 Green Valley Rd Suite 210, Greensboro NC 27408-7730. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Smith, Mccrae Sidney can be contacted via phone (336) 478-1016.

Contact Information

Primary practice address
628 Green Valley Rd Suite 210 Greensboro NC 27408-7730
Phone: (336) 478-1016
Fax: (336) 851-1737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31102 North Carolina
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 31102 North Carolina

Profile Details

NPI number 1295779619
LBN Legal business name Smith, Mccrae Sidney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Dec 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295779619 NPPES
North Carolina Other 4336735 AETNA
North Carolina Other 42911 AETNA
North Carolina MEDICAID 8977973 AETNA
North Carolina Other 77973 AETNA

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