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Individual

DR. GARY DANIEL SMITH

Active
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Individual

DR. GARY DANIEL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD16377
TN
207L00000X
Anesthesiology Physician
MD28215
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0068595
BCBS
TN
05
3014367
TN
01
4347090
BC BS OF TN
SD
Enumeration date
02/23/2006
Last updated
09/17/2013
Update your record

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