Individual
CHASE D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 ROSS CLARK CIR, DOTHAN, AL 36301-4754
(334) 793-2663
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2247
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.34119
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199408
—
AL
05
—
200225
—
AL
Enumeration date
06/11/2010
Last updated
07/21/2022
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