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Contact Information

BLAKE G SMITH
2000 6TH AVE S FL 4
BIRMINGHAM, AL35233-2110
 Phone: 205-934-7114
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BLAKE G SMITH · (Male)

NPI # 1770979221
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2015
Last updated 02/01/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 35621
  • AL License # MD.35621
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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