Individual
MR. DARRELL MARSHALL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3806 QUAIL CREEK DR, DOTHAN, AL 36303-1466
(334) 794-8595
Mailing address
3806 QUAIL CREEK DR, DOTHAN, AL 36303
(334) 794-8595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
131
AL
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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