Individual
SAGE B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 MEDICAL CENTER DRIVE, MONROEVILLE, AL 36460-3098
(251) 575-3266
(251) 575-3262
Mailing address
P.O. BOX 886, 2016 SOUTH ALABAMA AVENUE, MONROEVILLE, AL 36461-3098
(251) 575-3266
(251) 575-3262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10430
AL
207Q00000X
Family Medicine Physician
Primary
MD10430
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009987030
—
AL
Enumeration date
06/20/2006
Last updated
12/01/2016
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