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Individual

MRS. HANNAH RENN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2071
(205) 759-7122
Mailing address
4406 4TH AVE E, NORTHPORT, AL 35473-5116
(850) 368-3806

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
F06240267
AL
207Q00000X
Family Medicine Physician
Primary
F06240267
AL

Other

Enumeration date
06/04/2024
Last updated
06/04/2024
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