Individual
MR. ERIC TODD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTC
Contact information
Practice address
1103 16TH AVE SE, DECATUR, AL 35601-3595
(256) 355-0362
Mailing address
1103 16TH AVE SE, DECATUR, AL 35601-3595
(256) 350-0362
(256) 355-9779
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
17-1104
AL
156F00000X
Technician/Technologist
25-0208
AL
246ZX2200X
Orthopedic Assistant
Primary
25-0208
AL
247200000X
Other Technician
012125060
AL
Other
Enumeration date
12/07/2017
Last updated
07/15/2026
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