Individual
GREG R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
600 S 3RD ST, GADSDEN, AL 35901-5304
(256) 543-5390
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1-061723
AL
363LF0000X
Family Nurse Practitioner
Primary
1-061723
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891011090
—
AL
Enumeration date
06/30/2006
Last updated
06/07/2023
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