Individual
JOSHUA EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26454
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942171
—
AL
05
—
009942172
—
AL
05
—
009942173
—
AL
05
—
009942174
—
AL
05
—
03634509
—
MS
01
—
051540313
BLUE CROSS
AL
01
—
051540577
BLUE CROSS
AL
01
—
051540578
BLUE CROSS
AL
01
—
051540579
BLUE CROSS
AL
01
—
P00779106
RAILROAD MEDICARE
AL
01
—
Z08354
VIVA
AL
Enumeration date
04/12/2007
Last updated
06/15/2011
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