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NPI Code Detail

MEDICARE: GARY J SMITH M.D.

MEDICARE: GARY J SMITH M.D.
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
1207Q00000XFamily Medicine PhysicianMD019182TN

General Provider Information

NPI Number : 1659375228
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY J SMITH M.D.
Provider Business Mailing Address
First Line : 7640 HIGHWAY 70 S
Second Line : STE 201
City : NASHVILLE
State : TN
Zip : 37221-1758
Country : US
Telephone Number : 615-646-8098
Fax Number : 615-646-8557
Provider Business Practice Location Address
First Line : 7640 HIGHWAY 70 S
Second Line : STE 201
City : NASHVILLE
State : TN
Zip : 37221-1758
Country : US
Telephone Number : 615-646-8098
Fax Number : 615-646-8557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 08/03/2010

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Directions to “ GARY J SMITH M.D.” Practice Location

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