Healthcare Provider Details

I. General information

NPI: 1255779666
Provider Name (Legal Business Name): MEGHAN BROOKE SMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2013
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 23RD AVE N STE 401
NASHVILLE TN
37203-1513
US

IV. Provider business mailing address

345 23RD AVE N STE 401
NASHVILLE TN
37203-1513
US

V. Phone/Fax

Practice location:
  • Phone: 615-321-4740
  • Fax: 615-320-0240
Mailing address:
  • Phone: 615-321-4740
  • Fax: 615-320-0240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number62177
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: