# DR. AUDREY MARCELLE SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992818975
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | MD028569 | TN | — |
| 207Q00000X | Family Medicine Physician | MD028569 | TN | Yes |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | MD028569 | TN | — |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 11/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3809604 | — | TN |