Provider Demographics
NPI:1033672522
Name:SMITH, CHRISTIAN RAY (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:RAY
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 13TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-4306
Mailing Address - Country:US
Mailing Address - Phone:256-242-6443
Mailing Address - Fax:256-255-2559
Practice Address - Street 1:1225 13TH AVE SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4306
Practice Address - Country:US
Practice Address - Phone:256-242-6443
Practice Address - Fax:256-255-2559
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL41765208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics