Individual
SAMUEL HENRY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163-0001
(901) 448-5885
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 866-8864
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
63193
TN
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
63193
TN
Other
Enumeration date
04/18/2016
Last updated
03/03/2025
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