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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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