Individual
CHARLES BRANNON SMITH IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2878 BLACKRIDGE WAY, HOOVER, AL 35244-5307
(205) 381-1018
Mailing address
2878 BLACKRIDGE WAY, HOOVER, AL 35244-5307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-182564
AL
Other
Enumeration date
04/25/2025
Last updated
05/14/2025
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