# DR. DOUGLAS N. SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043292691
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO-82 | AL | — |
| 207Q00000X | Family Medicine Physician | R2A78 | MO | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | DO-82 | AL | — |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 06/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009933720 | — | AL |
| 01 | — | 080162220 | RAILROAD MEDICARE | — |
| 01 | — | 51097631 | BLUE CROSS OF AL | — |