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NPI Code Detail

MEDICARE: ERIC W SMITH CRNA

MEDICARE: ERIC W SMITH CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistR850689MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609951193
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC W SMITH CRNA
Provider Business Mailing Address
First Line : PO BOX 8368
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-0033
Country : US
Telephone Number : 662-327-6820
Fax Number : 662-327-9388
Provider Business Practice Location Address
First Line : 2520 5TH ST N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-2008
Country : US
Telephone Number : 662-327-6820
Fax Number : 662-327-9388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 12/15/2025

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Directions to “ ERIC W SMITH CRNA” Practice Location

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