Provider Demographics
NPI:1235842014
Name:SMITH, LEWIS THOMAS GODBEE III (DC)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:THOMAS GODBEE
Last Name:SMITH
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:TREY
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:8158 STATE HIGHWAY 59 APT 106
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-3881
Mailing Address - Country:US
Mailing Address - Phone:251-943-0569
Mailing Address - Fax:251-322-1811
Practice Address - Street 1:8158 STATE HIGHWAY 59 APT 106
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-3881
Practice Address - Country:US
Practice Address - Phone:251-943-0569
Practice Address - Fax:251-322-1811
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2775111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor