Smith, Rodney Terrell

Smith, Rodney Terrell is an sole proprietor health care provider with primary practice located at 4760 Woodmere Blvd , Montgomery AL 36106-3065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Smith, Rodney Terrell can be contacted via phone (334) 288-0814.

Contact Information

Primary practice address
4760 Woodmere Blvd Montgomery AL 36106-3065
Fax: (334) 288-3417
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 00020101 Alabama

Profile Details

NPI number 1215931191
LBN Legal business name Smith, Rodney Terrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Feb 19th, 2010 - about 14 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 1215931191 NPPES
Other 051502197SMI MEDICARE
MEDICAID 009956310 MEDICARE
Other 51502197SMI MEDICARE
MEDICAID 009956330 MEDICARE
Other G31693 MEDICARE
MEDICAID 009956320 MEDICARE
Other 3110127 MEDICARE
Other 390007630 MEDICARE
Other 51502200SMI MEDICARE
Other 51502201SMI MEDICARE

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