Individual
DR. STACY L SMITHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 N LORETTO RD, LEBANON, KY 40033-1300
(270) 692-6131
Mailing address
1621 W MORRIS BLVD STE A, MORRISTOWN, TN 37813-2967
(423) 492-7100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18049
SC
207V00000X
Obstetrics & Gynecology Physician
18049
SC
207V00000X
Obstetrics & Gynecology Physician
22067
NH
207V00000X
Obstetrics & Gynecology Physician
68868
TN
207V00000X
Obstetrics & Gynecology Physician
Primary
C4582
KY
207V00000X
Obstetrics & Gynecology Physician
MD198221
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3644
—
SC
05
—
I80496
—
SC
05
—
Q084683
—
TN
Enumeration date
12/22/2005
Last updated
10/28/2025
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