Provider Demographics
NPI:1194806844
Name:SMITH & GAYLE MEDICAL CENTER, LLC
Entity type:Organization
Organization Name:SMITH & GAYLE MEDICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:GAYLE
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:251-432-4188
Mailing Address - Street 1:1159 SPRING HILL AVE
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-2725
Mailing Address - Country:US
Mailing Address - Phone:251-432-4188
Mailing Address - Fax:251-432-4199
Practice Address - Street 1:1159 SPRING HILL AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-2725
Practice Address - Country:US
Practice Address - Phone:251-432-4188
Practice Address - Fax:251-432-4199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty