Individual
JOHN EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 GILBREATH DR, SUITE 201, ONEONTA, AL 35121-2827
(205) 274-8198
(205) 274-8197
Mailing address
150 GILBREATH DR, SUITE 201, ONEONTA, AL 35121-2827
(205) 274-8198
(205) 274-8197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9492
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000085124
—
AL
05
—
541387304
—
AL
Enumeration date
11/10/2006
Last updated
12/16/2010
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