Individual
SIDNEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
(256) 734-4688
(256) 736-5638
Mailing address
4761 COUNTY ROAD 16, FLORENCE, AL 35633-6645
(256) 702-4090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-127966
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
05/30/2018
Last updated
05/30/2018
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