Individual
ANNA BONNER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
833 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1606
(205) 933-9236
Mailing address
100 CAMELOT LN, TALLADEGA, AL 35160-8218
(334) 885-0789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1749
AL
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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