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Individual

CHANDRA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 538-8458
Mailing address
300 S. TWINING ST., BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-5200
(334) 953-8607

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-114368
AL
363LF0000X
Family Nurse Practitioner
RN261791
GA

Other

Enumeration date
10/26/2016
Last updated
08/06/2025
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