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Organization
CARL E. SMITH, M.D., F.A.A.P., PLLC
Active
Organization
CARL E. SMITH, M.D., F.A.A.P., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL E. SMITH JR. M.D. (OWNER)
(606) 573-1004
Entity
Organization
Contact information
Practice address
120 PROFESSIONAL LN, SUITE 201, HARLAN, KY 40831-2600
(606) 573-1004
(606) 573-0059
Mailing address
120 PROFESSIONAL LN, SUITE 201, HARLAN, KY 40831-2600
(606) 573-1004
(606) 573-0059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24028
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000953
—
KY
Enumeration date
08/21/2006
Last updated
10/27/2009
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