Provider Demographics
NPI:1285606202
Name:SMITH, CAROL A (MD)
Entity type:Individual
Prefix:MISS
First Name:CAROL
Middle Name:A
Last Name:SMITH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 PROVIDENCE PARK
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242
Mailing Address - Country:US
Mailing Address - Phone:205-982-7220
Mailing Address - Fax:205-407-4072
Practice Address - Street 1:2001 PROVIDENCE PARK
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242
Practice Address - Country:US
Practice Address - Phone:205-982-7220
Practice Address - Fax:205-407-4072
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17992207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051537437OtherBLUE CROSS BLUE SHIELD
AL529930550Medicaid
AL051537437OtherBLUE CROSS BLUE SHIELD
AL051537437Medicare PIN