Individual
BENNETT BRENT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
825 ADAMS ST. SE, HUNTSVILLE, AL 35801
(256) 536-9020
(256) 536-9053
Mailing address
825 ADAMS ST. SE, HUNTSVILLE, AL 35801
(256) 536-9020
(256) 536-9053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1277
AL
363A00000X
Physician Assistant
1856
AL
Other
Enumeration date
08/22/2017
Last updated
12/15/2017
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