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Individual

DR. JOE FRANK SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4300 W MAIN ST STE 403, DOTHAN, AL 36305-1314
(334) 793-4788
(334) 793-1561
Mailing address
4300 W MAIN ST STE 403, DOTHAN, AL 36305-1314
(334) 793-4788
(334) 793-1561

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00015588
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000031970
AL
01
040010259
RAILROAD MEDICARE
AL
01
051031970
BCBS AL
AL
01
174014500
US DEPT OF LABOR
AL
Enumeration date
04/05/2006
Last updated
04/19/2017
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