Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD.40426 | AL |
Y | 2080P0205X | Pediatric Endocrinologist | MD.40426 | AL |
NPI | 1124569306 |
---|---|
Provider Name | Dr. Whitney Nichols Smith |
First Address | Birmingham, AL 35233-1723 |
Second Address | Birmingham, AL 35233-1711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2017 |
Last Update Date | 21/07/2020 |