Smith, Judson Wayne

Smith, Judson Wayne is an individual health care provider with primary practice located at 801 20Th Ave E , Jasper AL 35501-4070. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Smith, Judson Wayne can be contacted via phone (205) 384-0311.

Contact Information

Primary practice address
801 20Th Ave E Jasper AL 35501-4070
Phone: (205) 384-0311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00018308 Alabama
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 00018308 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00018308 Alabama

Profile Details

NPI number 1720037450
LBN Legal business name Smith, Judson Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jan 27th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720037450 NPPES
Alabama MEDICAID 000030949
Alabama MEDICAID 009909535

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