Provider Demographics
NPI:1275875627
Name:SMOTHERS, EVAN DANE (DO)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:DANE
Last Name:SMOTHERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 W LAKESHORE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-7271
Mailing Address - Country:US
Mailing Address - Phone:205-547-3996
Mailing Address - Fax:205-408-9931
Practice Address - Street 1:4600 HIGHWAY 280
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5185
Practice Address - Country:US
Practice Address - Phone:205-408-1231
Practice Address - Fax:205-481-1229
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1626207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine