Individual
TIERRA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1329 SW 16TH ST, DEPARTMENT OF EMERGENCY MEDICINE, GAINESVILLE, FL 32610-0175
(352) 733-1471
Mailing address
1329 SW 16TH ST DEPARTMENT OF EMERGENCY MEDICINE, GAINESVILLE, FL 32610-0175
(352) 733-1471
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
98365
GA
207P00000X
Emergency Medicine Physician
Primary
ME144267
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2017
Last updated
02/01/2024
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