| Smith Psychiatry Llc | |
|
2236 Cahaba Valley Dr Ste 206a Birmingham AL 35242-2679 | |
| (205) 583-6661 | |
| (617) 362-2499 |
| Full Name | Smith Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2236 Cahaba Valley Dr Ste 206a, Birmingham, Alabama |
| Authorized Official Name and Position | Phillip Smith (OWNER) |
| Authorized Official Contact | 2055836661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Psychiatry Llc Po Box 382645 Birmingham AL 35238-2645 Ph: () - | Smith Psychiatry Llc 2236 Cahaba Valley Dr Ste 206a Birmingham AL 35242-2679 Ph: (205) 583-6661 |
| NPI Number | 1366014508 |
|---|---|
| Provider Enumeration Date | 07/16/2021 |
| Last Update Date | 07/03/2022 |
| Certification Date | 07/03/2022 |
| Medicare PECOS PAC ID | 6406251065 |
|---|---|
| Medicare Enrollment ID | O20210819000921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366014508 | NPI | - | NPPES |
| Provider Name | Phillip Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427404193 PECOS PAC ID: 7416243126 Enrollment ID: I20210505000936 |
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