Smith, Mimi Chamblin

Smith, Mimi Chamblin is an individual health care provider with primary practice located at 2022 Brookwood Medical Ctr Dr Suite 313 Acc, Birmingham AL 35209-6808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Smith, Mimi Chamblin can be contacted via phone (205) 877-2910.

Contact Information

Primary practice address
2022 Brookwood Medical Ctr Dr Suite 313 Acc Birmingham AL 35209-6808
Phone: (205) 877-2910
Fax: (205) 879-4649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22700 Alabama

Profile Details

NPI number 1750341756
LBN Legal business name Smith, Mimi Chamblin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 10th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750341756 NPPES
Alabama MEDICAID 009985905
Alabama Other 51000823
Alabama Other 1750341756
Alabama Other 1922068774
Alabama Other 63-0677675

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