Provider Demographics
NPI:1962462986
Name:SMITH, ANNE (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 BEVERLY HANKS CTR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-2305
Mailing Address - Country:US
Mailing Address - Phone:828-693-3296
Mailing Address - Fax:828-696-3530
Practice Address - Street 1:600 BEVERLY HANKS CTR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-2305
Practice Address - Country:US
Practice Address - Phone:828-693-3296
Practice Address - Fax:828-696-3530
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000623174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8985116Medicaid
NCH14124Medicare UPIN