Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 16339 | TN |
N | 207VX0201X | Gynecologic Oncologist | 18305 | MS |
N | 207VX0201X | Gynecologic Oncologist | E1673 | AR |
NPI | 1437188273 |
---|---|
Provider Name | Linda M Smiley |
First Address | Germantown, TN 38138-3941 |
Second Address | Germantown, TN 38138-1762 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 13/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00115827 | (05) | MS |
0061582 | BCBS TN (01) | TN |
114828001 | (05) | AR |
202569711 | (05) | MO |
3032520 | (05) | TN |
4129143 | AETNA (01) | |
94151 | BCBS AR (01) | AR |
A99612 | (02) |