Organization
WILBURN A. SMITH, JR., M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA H SMITH CRNP (MANAGER/NURSE PRACTITIONER)
(334) 281-6363
Entity
Organization
Contact information
Practice address
4131 CARMICHAEL RD, SUITE 28, MONTGOMERY, AL 36106-2801
(334) 281-6363
(334) 284-4253
Mailing address
4131 CARMICHAEL RD, SUITE 28, MONTGOMERY, AL 36106-2801
(334) 281-6363
(334) 284-4253
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9125
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000083838
—
AL
Enumeration date
11/08/2007
Last updated
12/01/2011
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