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Contact Information

J D SMITH, DPM
202 ROSA LN
FLORENCE, AL35630-1769
 Phone: 256-764-1806
 Fax: 256-760-8442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for J D SMITH · (Male)

NPI Number 1275581704
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/05/2006
Last updated 05/08/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 212
  • Other 1992977102 MEDICARE GROUP NUMBER
  • Other 480002775 MEDICARE RAILROAD PTAN
  • AL Other 51017836 BCBS PROVIDER
Hospital affiliation(s)
  • ELIZA COFFEE MEMORIAL HOSPITAL - (Acute Care)
    205 MARENGO STREET
    FLORENCE, AL 35631
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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