GORDON V SMITH, MD MONTGOMERY, AL

Contact Information

GORDON V SMITH, MD

2055 NORMANDIE DR
108
MONTGOMERY, AL 36111-2732

Phone: 334-288-4624
Fax: 334-280-3628
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for GORDON V SMITH · (Male)

NPI #	`1154393841`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	02/06/2006
Last updated	10/20/2016 - About 10 years ago
Sole proprietor ¹	Yes
Identifiers	AL License # 00024974 AL License # MD24974 FL License # ME90199 GA License # 044877 AL Medicaid 009922425 AL Medicaid 106707 AL Medicaid 107000 AL Medicaid 108067 AL Medicaid 108566
Hospital affiliation(s)	BAPTIST MEDICAL CENTER EAST - (Acute Care) 400 TAYLOR ROAD MONTGOMERY, AL 36117 BAPTIST MEDICAL CENTER SOUTH - (Acute Care) 2105 EAST SOUTH BOULEVARD MONTGOMERY, AL 36116 EAST ALABAMA MEDICAL CENTER AND SNF - (Acute Care) 2000 PEPPERELL PARKWAY OPELIKA, AL 36801 PRATTVILLE BAPTIST HOSPITAL - (Acute Care) 124 S MEMORIAL DR PRATTVILLE, AL 36067

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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