Smith Lake Family Care LLC

NPI #1306447776 in Jasper, Alabama

Provider Information

NPI Number
1306447776
Entity Type
Organization
Organization Name
Smith Lake Family Care LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Nov 3, 2020
Last Updated
Sep 11, 2025

Practice Location

Address
6610 CURRY HWY
City
Jasper
State
Alabama
ZIP Code
35503-5664
Phone
(205) 878-4800

Authorized Official

Name
MICHELLE HAWTHORNE, MS
Title
CREDENTIALING AND BILLING MANAGER
Phone
(205) 292-2428

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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