Individual
STANLEY FARRELL SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP-APRN-BC
Contact information
Practice address
20104 SWANNER BLVD, SUITE 4, TANNER, AL 35671
(256) 686-3334
(256) 686-3339
Mailing address
20104 SWANNER BLVD, SUITE 4, TANNER, AL 35671-3651
(256) 686-3334
(256) 686-3339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-088147
AL
Other
Enumeration date
04/03/2008
Last updated
02/19/2013
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