Individual
MR. JUSTIN B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1948 AL HIGHWAY 157 STE 380, CULLMAN, AL 35058-0611
(256) 775-9170
(256) 534-2605
Mailing address
PO BOX 18428, HUNTSVILLE, AL 35804-8428
(256) 705-4224
(256) 705-4135
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-119179
AL
Other
Enumeration date
07/19/2022
Last updated
02/12/2024
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