Individual
RODNEY TERRELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4760 WOODMERE BLVD, MONTGOMERY, AL 36106-3065
(334) 288-0814
(334) 288-3417
Mailing address
4760 WOODMERE BLVD, MONTGOMERY, AL 36106-3065
(334) 288-0814
(334) 288-3417
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
00020101
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009956310
—
AL
05
—
009956320
—
AL
05
—
009956330
—
AL
01
—
051502197SMI
MEDICARE
—
01
—
3110127
UNITED HEALTH
—
01
—
390007630
RAILROAD MEDICARE
—
01
—
51502197SMI
BLUE CROSS-BLUE SHIELD
AL
01
—
51502200SMI
BLUE CROSS-BLUE SHIELD
AL
01
—
51502201SMI
BLUE CROSS-BLUE SHIELD
AL
01
—
G31693
HEALTH SPRINGS
—
Enumeration date
06/09/2005
Last updated
02/19/2010
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