Individual
MRS. DEBORAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1411 PIEDMONT CUTOFF, GADSDEN, AL 35903-2708
(256) 492-0131
Mailing address
PO BOX 97, GADSDEN, AL 35902-0097
(256) 492-0131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00024130
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-35430
BCBS
AL
01
—
515-97599
BCBS
AL
01
—
515-97601
BCBS
AL
05
—
630408154
—
AL
05
—
630409154
—
AL
05
—
630411154
—
AL
05
—
6314000126
—
AL
Enumeration date
03/28/2006
Last updated
04/05/2011
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