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Individual

BEN A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1412 ELBA HWY, TROY, AL 36079-0000
(334) 566-8822
(334) 670-6723
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-354
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51021337
BCBS
AL
05
631805020
AL
Enumeration date
08/09/2006
Last updated
06/14/2022
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