# BOWDOIN G. SMITH D.O.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659575181
- **Authorized official:** DR. BOWDOIN GRAYSON SMITH D.O. (PHYSICIAN OWNER)
- **Authorized official phone:** (615) 735-0202

## Contact information

- **Practice address:** 9 MAGGART CIR, CARTHAGE, TN 37030-2151
- **Practice address phone:** (615) 735-0202
- **Practice address fax:** (615) 735-3011
- **Mailing address:** 9 MAGGART CIR, CARTHAGE, TN 37030-2151
- **Mailing address phone:** (615) 735-0202
- **Mailing address fax:** (615) 735-3011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO741 | TN | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 11/17/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1346345154 | INDIVIDUAL NPI | TN |
| 05 | — | 3280513 | — | TN |
| 01 | — | F03086 | PHYSICIAN UPIN | TN |