Organization
SMARTT NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY W SMARTT JR. MD (PRESIDENT)
(317) 872-4545
Entity
Organization
Contact information
Practice address
9640 N AUGUSTA DR, SUITE 412, CARMEL, IN 46032-9600
(317) 872-4545
(317) 872-3959
Mailing address
9640 N AUGUSTA DR, SUITE 412, CARMEL, IN 46032-9600
(317) 872-4545
(317) 872-3959
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362840
ANTHEM BLUE SHIELD
IN
05
—
200504240A
—
IN
Enumeration date
09/05/2007
Last updated
10/24/2007
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