Dr. Clyde E Smith
Hematology & Oncology
27 Medical Center Dr
Jackson
, Tennessee 38301-3949
Dr. Clyde E Smith
Hematology & Oncology
27 Medical Center Dr
Jackson
, Tennessee 38301-3949
(731) 424-1001
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Dr. Clyde E Smith
- 27 Medical Center Dr
- Jackson, TN
- Zip : 38301-3949
- Phone : (731) 424-1001
Second Address
- Dr. Clyde E Smith
- 27 Medical Center Dr
- Jackson, TN
- Zip : 38301-3949
- Phone : (731) 424-1001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 08897 | TN |
National Provider Identifier
| NPI | 1053365809 |
|---|---|
| Provider Name | Dr. Clyde E Smith |
| First Address | Jackson, TN 38301-3949 |
| Second Address | Jackson, TN 38301-3949 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3172162 | (05) | TN |
| B03512 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.