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NPI Code Detail

MEDICARE: DR. JOE FRANK SMITH MD

MEDICARE: DR. JOE FRANK SMITH MD
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
1174400000XSpecialist00015588AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2040010259OTHERALRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3174014500OTHERALUS DEPT OF LABOR
4051031970OTHERALBCBS AL

General Provider Information

NPI Number : 1760444608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOE FRANK SMITH MD
Provider Business Mailing Address
First Line : 4300 W MAIN ST STE 403
Second Line :
City : DOTHAN
State : AL
Zip : 36305-1314
Country : US
Telephone Number : 334-793-4788
Fax Number : 334-793-1561
Provider Business Practice Location Address
First Line : 4300 W MAIN ST STE 403
Second Line :
City : DOTHAN
State : AL
Zip : 36305-1314
Country : US
Telephone Number : 334-793-4788
Fax Number : 334-793-1561
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 04/19/2017

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Directions to “ DR. JOE FRANK SMITH MD” Practice Location

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