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Individual

SHEA O SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1720 2ND AVE S, FACULTY OFFICE TOWER STE 1038, BIRMINGHAM, AL 35924
(205) 934-9879
(205) 934-6088
Mailing address
1720 2ND AVE S, FACULTY OFFICE TOWER STE 1038, BIRMINGHAM, AL 35924
(205) 934-9879
(205) 934-6088

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
68479
NM
363LF0000X
Family Nurse Practitioner
1-129131
AL
363LF0000X
Family Nurse Practitioner
68479
NM

Other

Enumeration date
07/18/2014
Last updated
02/09/2024
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