Organization
VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDRY SMITH MSN, PMHNP (COORDINATOR FOR MHICM PROGRAMS)
(205) 933-8101
Entity
Organization
Contact information
Practice address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5123
(256) 535-3100
Mailing address
1205 9TH ST NE, JACKSONVILLE, AL 36265-1207
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
2732G
AL
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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