MEDICARE: MR. DARRELL MARSHALL SMITH ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	131	AL

General Provider Information

NPI Number	:	1598792103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DARRELL MARSHALL SMITH ATC

Provider Business Mailing Address
First Line	:	3806 QUAIL CREEK DR
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303
Country	:	US
Telephone Number	:	334-794-8595
Fax Number	:

Provider Business Practice Location Address
First Line	:	3806 QUAIL CREEK DR
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-1466
Country	:	US
Telephone Number	:	334-794-8595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1023977584 — LUXOTTICA OF AMERICA INC
Practice Location Address:

4601 MONTGOMERY HWY
DOTHAN, AL
36303-1656

Practice Phone: 334-828-8853
Practice Fax:

1144189572 — HARRIS PROFESSIONAL CARE LLC
Practice Location Address:

285 N FOSTER ST STE 301A
DOTHAN, AL
36303-4541

Practice Phone: 888-411-0094
Practice Fax:

1356209027 — MR. ETHAN GATES LICSW
Practice Location Address:

212 W TROY ST STE B
DOTHAN, AL
36303-4455

Practice Phone: 205-578-8058
Practice Fax:

1427715275 — ALPHA-1 HOME HEALTH SERVICES LLC
Practice Location Address:

285 NORTH FOSTER ST , SUITE 301B
DOTHAN, AL
36303-4541

Practice Phone: 229-407-0033
Practice Fax:

1629717210 — EVOLVING MINDS THERAPY, LLC
Practice Location Address:

212 W TROY ST STE B
DOTHAN, AL
36303-4455

Practice Phone: 205-235-2899
Practice Fax:

1346763091 — DR. BRIAN PFISTER DDS
Practice Location Address:

2660 MONTGOMERY HWY STE 1
DOTHAN, AL
36303-2618

Practice Phone: 855-939-5566
Practice Fax:

Directions to “ MR. DARRELL MARSHALL SMITH ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.