Smith, Reginald M

Smith, Reginald M is an sole proprietor health care provider with primary practice located at 2345 Moody Parkway Ste 204, Moody AL 35004-3039. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Smith, Reginald M can be contacted via phone (205) 640-0001.

Contact Information

Primary practice address
2345 Moody Parkway Ste 204 Moody AL 35004-3039
Phone: (205) 640-0001
Fax: (205) 640-1557
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27262 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2002027127 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0000032235 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.27262 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 27262 Alabama

Profile Details

NPI number 1700877719
LBN Legal business name Smith, Reginald M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Jan 7th, 2015 - 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 1700877719 NPPES
Alabama MEDICAID 051538695
Alabama Other 051538695

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