Individual
DR. REGINALD M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2345 MOODY PARKWAY, STE 204, MOODY, AL 35004-3039
(205) 640-0001
(205) 640-1557
Mailing address
P.O. BOX 175, MOODY, AL 35004-0175
(205) 640-0001
(205) 640-1557
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.27262
AL
207R00000X
Internal Medicine Physician
0000032235
TN
207R00000X
Internal Medicine Physician
2002027127
MO
207R00000X
Internal Medicine Physician
27262
AL
208VP0000X
Pain Medicine Physician
Primary
27262
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051538695
BCBS
AL
05
—
051538695
—
AL
Enumeration date
10/31/2005
Last updated
01/07/2015
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