Healthcare Provider Details

I. General information

NPI: 1508805797
Provider Name (Legal Business Name): STEVEN M SMITH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 02/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 PARKWAY SUITE 2
SEVIERVILLE TN
37862-3469
US

IV. Provider business mailing address

441 PARKWAY SUITE 2
SEVIERVILLE TN
37862-3469
US

V. Phone/Fax

Practice location:
  • Phone: 865-774-4440
  • Fax: 865-774-4868
Mailing address:
  • Phone: 865-774-4440
  • Fax: 865-774-4868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD15308
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: