Individual
JUSTIN SMOTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1477 N DONAHUE DR, APT 2005, AUBURN, AL 36830
(205) 495-0453
Mailing address
1477 N DONAHUE DR, APT 2005, AUBURN, AL 36830
(205) 495-0453
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10817
AL
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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