Individual
BLAKE GAITHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 6TH AVE S FL 4, BIRMINGHAM, AL 35233-2110
(205) 934-7114
Mailing address
625 19TH STREET SOUTH, BIRMINGHAM, AL 35249
(731) 446-1954
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
35621
AL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD.35621
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2015
Last updated
02/01/2024
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