Individual
DR. LESLIE EUGENE SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 POPLAR AVE STE 2222, MEMPHIS, TN 38137-2207
(901) 377-5891
(901) 384-8646
Mailing address
1765 CHAPEL CREEK CV, CORDOVA, TN 38016-2847
(901) 218-2552
(901) 384-8646
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0000024682
TN
2084P0804X
Child & Adolescent Psychiatry Physician
MD04682
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077434
—
TN
Enumeration date
07/12/2006
Last updated
05/11/2023
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