Individual
REBECCA CLARK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1-090395
AL
Other
Enumeration date
07/21/2022
Last updated
06/29/2023
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