Individual
MANDALYN P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
217 DOTHAN RD, ABBEVILLE, AL 36310-2836
(334) 585-6421
Mailing address
217 DOTHAN RD, ABBEVILLE, AL 36310-2836
(334) 585-6421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-121618
AL
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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