Sheretta L Gamble-Smith in Southside - Specialist

Sheretta L Gamble-Smith - NPI 1053473025

Sheretta L Gamble-Smith is a Specialist in Southside, Alabama. Sheretta L Gamble-Smith practices all healthcare services and medical treatments related to Specialist. The NPI Number for Sheretta L Gamble-Smith is 1053473025. The last update date is 2007-07-08.

Sheretta L Gamble-Smith's current location address is 1690 Shelby Dr, Southside, Alabama. You can contact this provider via phone number 2565471387. The mailing address for Sheretta L Gamble-Smith is 1690 Shelby Dr, Southside, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Sheretta L Gamble-Smith
Address 1690 Shelby Dr, Southside, Alabama
Phone Number 2565471387
Fax Number
Sole Proprietor N
Credentials OT

NPI Number Detail

NPI Number 1053473025
Provider Enumeration Date 2006-12-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1690 Shelby Dr
City Southside
State Alabama (AL)
Post Code 359070628
Phone Number 2565471387
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 1650
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1650 AL OT LICENSE

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FAQs about Sheretta L Gamble-Smith

What is the unique identifier code issued to Sheretta L Gamble-Smith by the Centers for Medicare & Medicaid Services (CMS)?

The Sheretta L Gamble-Smith has been assigned the NPI (National Provider Identifier) 1053473025. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Sheretta L Gamble-Smith is located?

The Sheretta L Gamble-Smith is situated at the following address: 1690 Shelby Dr, Southside, AL, 359070628.

What is the Sheretta L Gamble-Smith's area of specialization and corresponding taxonomy classification?

The Sheretta L Gamble-Smith's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

When was the Sheretta L Gamble-Smith's 1053473025 issued?

The Sheretta L Gamble-Smith's 1053473025 was issued on 2006-12-15.

As of what date were the details pertaining to Sheretta L Gamble-Smith last refreshed?

The information related to the Sheretta L Gamble-Smith, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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