Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | 56311 | TN |
Y | 2086S0127X | Trauma Surgeon | 56311 | TN |
NPI | 1144582180 |
---|---|
Provider Name | Dr. Michael Christopher Smith |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2012 |
Last Update Date | 15/10/2020 |