| Moore-smith Comprehensive Care | |
|
2700 Rogers Dr Homewood AL 35209-2054 | |
| (205) 419-7139 | |
| Not Available |
| Full Name | Moore-smith Comprehensive Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2700 Rogers Dr, Homewood, Alabama |
| Authorized Official Name and Position | Lakisha Dionne Moore-smith (MEMBER) |
| Authorized Official Contact | 2053965099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore-smith Comprehensive Care Po Box 1996 Gardendale AL 35071-1996 | Moore-smith Comprehensive Care 2700 Rogers Dr Homewood AL 35209-2054 Ph: (205) 419-7139 |
| NPI Number | 1871465658 |
|---|---|
| Provider Enumeration Date | 09/22/2025 |
| Last Update Date | 09/22/2025 |
| Certification Date | 09/21/2025 |
| Medicare PECOS PAC ID | 0345732574 |
|---|---|
| Medicare Enrollment ID | O20251125000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871465658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Lakisha Moore Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033566062 PECOS PAC ID: 4082957212 Enrollment ID: I20200316001050 |
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