Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 01026368A | IN |
NPI | 1003173923 |
---|---|
Provider Name | Dr. Harold Earl Smith |
First Address | Hermitage, TN 37076-3902 |
Second Address | Hermitage, TN 37076-3902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2012 |
Last Update Date | 17/04/2012 |