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NPI Code Detail

MEDICARE: DR. JOEL ANDERSON SMITHWICK MD

MEDICARE:  DR. JOEL ANDERSON SMITHWICK  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
12083P0500XPreventive Medicine/Occupational Environmental Medicine Physician16320SC

General Provider Information

NPI Number : 1992785851
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOEL ANDERSON SMITHWICK MD
Provider Business Mailing Address
First Line : 350 CRAG RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32407-7013
Country : US
Telephone Number : 850-235-5218
Fax Number : 850-235-5993
Provider Business Practice Location Address
First Line : 350 CRAG RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32407-7013
Country : US
Telephone Number : 850-235-5218
Fax Number : 850-235-5993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 07/13/2007

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Directions to “ DR. JOEL ANDERSON SMITHWICK MD” Practice Location

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