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Contact Information

MICAH A MCCANNA, CRNA
2485 HEMBY LN
SUITE A
GREENVILLE, NC27834
 Phone: 252-752-2140
 Fax: 888-787-2249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MICAH A MCCANNA · (Male)

NPI # 1548656564
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 04/07/2015
Last updated 06/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 106615
  • NC License # 245932
  • NC License # 5220
  • VA License # 0024175283
  • NC Medicaid 1548656564
  • NC Other P01527756 RAILROAD MEDICARE
  • NC Other 1548656564 TRICARE
Hospital affiliation(s)
  • GRANVILLE MEDICAL CENTER - (Acute Care)
    COLLEGE ST BOX 947
    OXFORD, NC 27565
  • JOHNSTON MEMORIAL HOSPITAL - (Acute Care)
    509 BRIGHT LEAF BLVD
    SMITHFIELD, NC 27577
  • NASH GENERAL HOSPITAL - (Acute Care)
    2460 CURTIS ELLIS DRIVE
    ROCKY MOUNT, NC 27804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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