Doctor Name: | MRS. GALE CAWTHON SMITH |
NPI Number: | 1558785980 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 1-068603 |
Business Practice Address: | 18 C.m. Rambo Drive Saraland, AL - 365712147 |
Business Phone Number: | 2516757433 |
Business Fax Number: | 2516753470 |
Mailing Address: | Po Box 850489, MOBILE |
State: | AL |
Postal Code: | 366850489 |
Phone Number: | 2513423949 |
Fax Number: | 2516313361 |
NPI Enumeration Date: | 02/05/2014 |
NPI Last Update Date: | 10/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-068603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |