MEDICARE: ERIC L SMITH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	032043	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134233745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC L SMITH MD

Provider Business Mailing Address
First Line	:	3173 KIRBY WHITTEN RD STE 104
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38134-2881
Country	:	US
Telephone Number	:	901-384-8040
Fax Number	:	901-888-4748

Provider Business Practice Location Address
First Line	:	3173 KIRBY WHITTEN RD STE 104
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38134-2881
Country	:	US
Telephone Number	:	901-737-1992
Fax Number	:	901-309-8784

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	11/08/2024

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Directions to “ ERIC L SMITH MD” Practice Location

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