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Individual

WILLIAM PHILLIP SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
724 STONE AVE, TALLADEGA, AL 35160-2219
(256) 362-1410
(256) 362-0186
Mailing address
724 STONE AVE, TALLADEGA, AL 35160-2219
(256) 362-1410
(256) 362-0186

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9293
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529904160
AL
01
9293
STATE MEDICAL LICENSE
AL
Enumeration date
08/31/2005
Last updated
03/07/2023
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