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MARILYN DYER SMITH

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1992152284

Individual Registrant:
 MARILYN DYER SMITH 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
108 4TH AVE SW STE A  REFORM, AL 35481-8018 US
Tel: 205-375-6251  Fax: 205-375-9064

Contact information for business:
108 4TH AVE SW STE A  REFORM, AL 35481-8018 US
Tel: 205-375-6251  Fax: 205-375-9064

Registration Information:
NPI: 1992152284
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MSSMIT-5SJF8V

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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