Healthcare Provider Details

I. General information

NPI: 1285606202
Provider Name (Legal Business Name): CAROL A. SMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 PROVIDENCE PARK
BIRMINGHAM AL
35242
US

IV. Provider business mailing address

2001 PROVIDENCE PARK
BIRMINGHAM AL
35242
US

V. Phone/Fax

Practice location:
  • Phone: 205-982-7220
  • Fax: 205-407-4072
Mailing address:
  • Phone: 205-982-7220
  • Fax: 205-407-4072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number17992
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: