Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | MD32252 | TN |
NPI | 1093892002 |
---|---|
Provider Name | Dr. Jeffrey Roser Smith |
First Address | Brentwood, TN 37027-6102 |
Second Address | Nashville, TN 37212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 03/06/2018 |