Individual
DR. CLYDE E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 MEDICAL CENTER DR, JACKSON, TN 38301-3949
(731) 424-1001
Mailing address
27 MEDICAL CENTER DR, JACKSON, TN 38301-3949
(731) 424-1001
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
08897
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3172162
—
TN
Enumeration date
05/19/2006
Last updated
07/09/2007
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