Individual
DR. BOWDOIN GRAYSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9 MAGGART CIR, CARTHAGE, TN 37030-2151
(615) 735-0202
(615) 735-3011
Mailing address
9 MAGGART CIR, CARTHAGE, TN 37030-2151
(615) 735-0202
(615) 735-3011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO741
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3373462
—
TN
01
—
DO741
STATE LICENSE NUMBER
TN
01
—
F03086
UPIN
TN
Enumeration date
09/14/2006
Last updated
03/07/2023
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