Organization
J D SMITH DPM P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID SMITH DPM (PRESIDENT)
(256) 764-1806
Entity
Organization
Contact information
Practice address
202 ROSA LN, FLORENCE, AL 35630-1769
(256) 764-1806
(256) 760-8442
Mailing address
202 ROSA LN, FLORENCE, AL 35630-1769
(256) 764-1806
(256) 760-8442
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
#212
AL
213ES0103X
Foot & Ankle Surgery Podiatrist
#212
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480027775
RAILROAD MEDICARE NUMBER
—
01
—
51017836
BCBS OF AL
AL
Enumeration date
03/27/2008
Last updated
05/08/2024
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