Individual
ELYSE NICHOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
833 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1323
(205) 599-4823
Mailing address
1967 OXFORD FARMS DR, OXFORD, MS 38655-3040
(601) 540-7850
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
01/12/2026
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