Individual
TODD S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 551-1795
Mailing address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55158
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912705
—
AL
05
—
3631926
—
TN
01
—
4048956
BCBS
TN
05
—
74005430
—
KY
Enumeration date
10/06/2005
Last updated
06/04/2014
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