Individual
DR. KEITH PATRICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 LEIGHTON AVE, SUITE 705, ANNISTON, AL 36207-5700
(256) 231-1322
(256) 231-1324
Mailing address
901 LEIGHTON AVE, SUITE 705, ANNISTON, AL 36207-5700
(256) 231-1322
(256) 231-1324
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25784
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048155
BLUE CROSS BLUE SHIELD
AL
05
—
107338
—
AL
Enumeration date
02/07/2006
Last updated
06/11/2019
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