Individual
CARL J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8000
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
028868
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000037037
—
AL
Enumeration date
04/28/2006
Last updated
09/24/2008
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