Organization
SMITH LAKE FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HAWTHORNE MS (CREDENTIALING AND BILLING MANAGER)
(205) 292-2428
Entity
Organization
Contact information
Practice address
6610 CURRY HWY, JASPER, AL 35503-5664
(205) 878-4800
(205) 471-7009
Mailing address
6610 CURRY HWY, JASPER, AL 35503-5664
(205) 878-4800
(205) 471-7009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
09/11/2025
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