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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

Other

Enumeration date
12/07/2017
Last updated
12/07/2017
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