Individual
MATTHEW DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163-0004
(901) 759-3275
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(404) 272-3165
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
05/19/2023
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