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NPI Code Detail

MEDICARE: MR. PERRY HAMILTON SMITH MPT

MEDICARE:  MR. PERRY HAMILTON SMITH  MPT
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
12251X0800XOrthopedic Physical Therapist2305005311VA
22251X0800XOrthopedic Physical Therapist7943TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14173590OTHERTNBCBS

General Provider Information

NPI Number : 1427271246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PERRY HAMILTON SMITH MPT
Provider Business Mailing Address
First Line : 10 CADILLAC DR
Second Line : SUITE 160
City : BRENTWOOD
State : TN
Zip : 37027-5078
Country : US
Telephone Number : 615-373-5020
Fax Number : 615-373-5420
Provider Business Practice Location Address
First Line : 10 CADILLAC DR
Second Line : SUITE 160
City : BRENTWOOD
State : TN
Zip : 37027-5078
Country : US
Telephone Number : 615-373-5020
Fax Number : 615-373-5420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/19/2016

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Directions to “ MR. PERRY HAMILTON SMITH MPT” Practice Location

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