Individual
DONNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 LIBERTY DR, MADISON, AL 35758-8384
(256) 721-4063
Mailing address
PO BOX 1471, MADISON, AL 35758-5402
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
AL
133NN1002X
Nutrition Education Nutritionist
—
AL
133V00000X
Registered Dietitian
Primary
—
AL
Other
Enumeration date
05/09/2018
Last updated
06/16/2018
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