| Stanley Farrell Smallwood, CRNP-APRN-BC | |
|
20104 Swanner Blvd, Suite 4, Tanner, AL 35671 | |
| (256) 686-3334 | |
| (256) 686-3339 |
| Full Name | Stanley Farrell Smallwood |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 20104 Swanner Blvd, Tanner, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447423009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-088147 (Alabama) | Primary |
| Entity Name | Twilight Medical Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518330414 PECOS PAC ID: 4981900776 Enrollment ID: O20160303001592 |
| Entity Name | Comprehensive Primary & Urgent Care of Alabama, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750997706 PECOS PAC ID: 1254741515 Enrollment ID: O20201028001145 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley Farrell Smallwood, CRNP-APRN-BC 20104 Swanner Blvd, Suite 4, Tanner, AL 35671-3651 Ph: (256) 686-3334 | Stanley Farrell Smallwood, CRNP-APRN-BC 20104 Swanner Blvd, Suite 4, Tanner, AL 35671 Ph: (256) 686-3334 |
Johnna Langford, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20104 Swanner Blvd, Tanner, AL 35671 Phone: 256-686-3334 |
Mrs. Meredith Clark Belew, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20104 Swanner Blvd, Suite 4, Tanner, AL 35671 Phone: 256-686-3334 Fax: 256-771-1662 |