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Individual
DR. BOWDOIN GRAYSON SMITH
Active
Individual
DR. BOWDOIN GRAYSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO741
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3373462
—
TN
01
—
DO741
STATE LICENSE NUMBER
TN
01
—
F03086
UPIN
TN
Enumeration date
09/14/2006
Last updated
03/07/2023
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