Provider Demographics
NPI:1891777298
Name:SMITH, ALBERT E III (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:E
Last Name:SMITH
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:3915 VETERANS MEMORIAL DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ADAMSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35005-2261
Mailing Address - Country:US
Mailing Address - Phone:205-674-1222
Mailing Address - Fax:205-674-1230
Practice Address - Street 1:3915 VETERANS MEMORIAL DR
Practice Address - Street 2:SUITE 106
Practice Address - City:ADAMSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35005-2261
Practice Address - Country:US
Practice Address - Phone:205-674-1222
Practice Address - Fax:205-674-1230
Is Sole Proprietor?:No
Enumeration Date:2005-11-19
Last Update Date:2014-06-09
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Provider Licenses
StateLicense IDTaxonomies
ALAL9810207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL631286723OtherTAX ID FOR COMM INS
AL51551354Medicaid
ALC72806Medicare UPIN
AL51551354Medicaid