Individual
MRS. ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2279 VALLEYDALE RD STE 100, HOOVER, AL 35244-2111
(205) 214-7546
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 864-7976
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1389
AL
Other
Enumeration date
12/20/2016
Last updated
02/24/2022
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