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Individual

JEFFREY D SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1440 HIGHWAY DR, OXFORD, AL 36203-1951
(256) 241-2230
(256) 241-2235
Mailing address
PO BOX 2644, BIRMINGHAM, AL 35202-2644
(205) 322-1808
(205) 322-1851

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-049134
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051504038
AL
01
430074751
PALMETTO GBA
AL
01
51504038
BLUE SHIELD
AL
Enumeration date
05/06/2006
Last updated
11/21/2020
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