Smith, Mimi Chamblin
Smith, Mimi Chamblin is an individual health care provider with primary practice located at 2022 Brookwood Medical Ctr Dr Suite 313 Acc, Birmingham AL 35209-6808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Smith, Mimi Chamblin can be contacted via phone (205) 877-2910.Contact Information
Primary practice address
2022 Brookwood Medical Ctr Dr Suite 313 Acc
Birmingham AL 35209-6808
Phone: (205) 877-2910
Fax: (205) 879-4649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 22700 | Alabama |
Profile Details
| NPI number | 1750341756 |
|---|---|
| LBN Legal business name | Smith, Mimi Chamblin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Apr 10th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750341756 | NPPES |
| Alabama | MEDICAID | 009985905 | |
| Alabama | Other | 51000823 | |
| Alabama | Other | 1750341756 | |
| Alabama | Other | 1922068774 | |
| Alabama | Other | 63-0677675 |
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