Individual
GARY DANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7050 ABBEY LOOP, COTTONDALE, AL 35453-4341
(205) 886-5946
Mailing address
7050 ABBEY LOOP, COTTONDALE, AL 35453-4341
(205) 886-5946
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
372600000X
AL
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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