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Individual

JAMES W SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5147 NORTH 9TH AVENUE, SUITE 311, PENSACOLA, FL 32504
(850) 477-2597
(850) 478-7941
Mailing address
4900 BAYOU BOULEVARD, SUITE 111, PENSACOLA, FL 32503
(850) 477-8109
(850) 478-2412

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0038076
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000289901002
UNITED HEALTH CARE
05
008202700
AL
01
059075508
BCBS OF ALABAMA
AL
05
065335700
FL
01
100000146
RAILROAD MEDICARE
01
17497
BCBS OF FLORIDA
FL
01
4647812
AETNA
01
6832173
CIGNA
01
Z016
HEALTH OPTIONS
Enumeration date
10/02/2006
Last updated
10/22/2007
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