Provider Demographics
NPI:1558072108
Name:GHEE, CAROLINE SMITH (PA-C)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:SMITH
Last Name:GHEE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:ALEXANDRA
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:766 LAKE COLONY TRL
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7400
Mailing Address - Country:US
Mailing Address - Phone:205-276-0885
Mailing Address - Fax:
Practice Address - Street 1:32 CHURCH ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-3702
Practice Address - Country:US
Practice Address - Phone:205-276-0885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA200002073363A00000X
AL1975363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant