Individual
MRS. BAILLIE GAINES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 LEIGHTON AVE STE 103, ANNISTON, AL 36207-5703
(256) 201-6504
Mailing address
35 DUNAWAY ST, HEFLIN, AL 36264-1383
(256) 201-6504
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG11190029
AL
Other
Enumeration date
03/15/2020
Last updated
03/15/2020
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