Individual
STEVEN MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
470 TAYLOR RD, SUITE 310, MONTGOMERY, AL 36117-3563
(334) 244-4322
(334) 244-4321
Mailing address
301 BROWN SPRINGS RD, ATTN: PROVIDER ENROLLMENT, MONTGOMERY, AL 36117-7005
(334) 273-4508
(334) 273-4290
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-040648
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150463
—
AL
Enumeration date
05/18/2006
Last updated
07/02/2014
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