Individual
DR. CHARLES GRAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W CRAWFORD AVE, MONTEREY, TN 38574
(931) 839-2224
(931) 839-2368
Mailing address
400 W CRAWFORD AVE, MONTEREY, TN 38574-1166
(931) 839-2224
(931) 839-2368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TN15753
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3846287
—
TN
Enumeration date
09/28/2005
Last updated
07/13/2010
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