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Individual

DR. ROGER H SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
300 N COLLEGE ST, GREENVILLE, AL 36037-2025
(334) 382-2681
(334) 383-9541
Mailing address
300 N COLLEGE ST, GREENVILLE, AL 36037-2025
(334) 382-2681
(334) 383-9541

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO343
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51511321
BLUECROSS PROVIDER #
AL
Enumeration date
06/02/2005
Last updated
07/08/2007
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