Individual
DR. JUDSON WAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 20TH AVE E, JASPER, AL 35501-4070
(205) 384-0311
Mailing address
801 20TH AVE E, JASPER, AL 35501-4070
(205) 384-0311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00018308
AL
207V00000X
Obstetrics & Gynecology Physician
00018308
AL
208000000X
Pediatrics Physician
00018308
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030949
—
AL
05
—
009909535
—
AL
Enumeration date
05/09/2006
Last updated
01/27/2010
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