Provider Demographics
NPI:1982871083
Name:SMITH, MILTON M III (DC)
Entity type:Individual
Prefix:DR
First Name:MILTON
Middle Name:M
Last Name:SMITH
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:700 MONTGOMERY HWY STE 164
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1875
Mailing Address - Country:US
Mailing Address - Phone:205-414-7895
Mailing Address - Fax:205-414-7896
Practice Address - Street 1:700 MONTGOMERY HWY STE 164
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-1875
Practice Address - Country:US
Practice Address - Phone:205-414-7895
Practice Address - Fax:205-414-7896
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL2245111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor