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NPI Code Detail

MEDICARE: MACY C SMITH JR. M.D.

MEDICARE: MACY C SMITH JR. M.D.
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
1207RC0000XCardiovascular Disease Physician25264AL
2207RC0001XClinical Cardiac Electrophysiology Physician25264AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125264OTHERALLICENSE

General Provider Information

NPI Number : 1902942006
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACY C SMITH JR. M.D.
Provider Business Mailing Address
First Line : 3680 GRANDVIEW PKWY STE 200
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-3411
Country : US
Telephone Number : 205-971-7500
Fax Number : 205-971-7571
Provider Business Practice Location Address
First Line : 3680 GRANDVIEW PKWY STE 200
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-3411
Country : US
Telephone Number : 205-971-7500
Fax Number : 205-971-7571
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 08/10/2025

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