Provider Demographics
NPI:1396516589
Name:SMITH, ANNA MCDANIEL (PA-C)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MCDANIEL
Last Name:SMITH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MICHAL
Other - Last Name:MCDANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:315 MULBERRY CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-0505
Mailing Address - Country:US
Mailing Address - Phone:334-332-6798
Mailing Address - Fax:
Practice Address - Street 1:1702 CATHERINE CT STE 1A
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5790
Practice Address - Country:US
Practice Address - Phone:334-501-1081
Practice Address - Fax:334-501-1083
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical