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Individual

DR. CASEY CLARK SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4696
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35233-1900

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.33679
AL
2083A0100X
Aerospace Medicine Physician
ME108056
FL

Other

Enumeration date
10/04/2010
Last updated
03/21/2017
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