Provider Demographics
NPI:1801341284
Name:SMITH, ALEXANDER LEE (DC)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:LEE
Last Name:SMITH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7596 US HIGHWAY 43
Mailing Address - Street 2:
Mailing Address - City:GUIN
Mailing Address - State:AL
Mailing Address - Zip Code:35563-3339
Mailing Address - Country:US
Mailing Address - Phone:205-468-3464
Mailing Address - Fax:205-468-3724
Practice Address - Street 1:7596 US HIGHWAY 43
Practice Address - Street 2:
Practice Address - City:GUIN
Practice Address - State:AL
Practice Address - Zip Code:35563-3339
Practice Address - Country:US
Practice Address - Phone:205-468-3464
Practice Address - Fax:205-468-3724
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor