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Individual

MS. ERNESTINE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
42 MED GROUP, 300 SOUTH TWINING, MAXWELL AIR FORCE BASE, AL 36112
(334) 953-7824
Mailing address
42TH MED GROUP, 300 SOUTH TWINING STREET, MAXWELL AIR FORCE BASE, AL 36112
(334) 953-7824

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
A01457ANP
AR

Other

Enumeration date
04/04/2006
Last updated
12/28/2007
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