Organization
R JAY SMITH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD JAY SMITH MD (OWNER SURGEON)
(205) 788-7136
Entity
Organization
Contact information
Practice address
801 PRINCETON AVE SW, PROF BUILDING 1 STE 330, BIRMINGHAM, AL 35211
(205) 788-7136
(205) 788-7928
Mailing address
801 PRINCETON AVE SW, PROF BUILDING 1 STE 330, BIRMINGHAM, AL 35211
(205) 788-7136
(205) 788-7928
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12142
AL
208600000X
Surgery Physician
MD12142
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC3511
MEDICARE RAILROAD
—
01
—
J983
MEDICARE GROUP NUMBER
AL
01
—
P00163322
MEDICARE RAILROAD
—
Enumeration date
07/10/2007
Last updated
02/14/2008
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