Individual
LINDA M SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-9718
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 922-6722
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
16339
TN
207VX0201X
Gynecologic Oncology Physician
18305
MS
207VX0201X
Gynecologic Oncology Physician
E1673
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115827
—
MS
01
—
0061582
BCBS TN
TN
05
—
114828001
—
AR
05
—
202569711
—
MO
05
—
3032520
—
TN
01
—
4129143
AETNA
—
01
—
94151
BCBS AR
AR
Enumeration date
07/02/2006
Last updated
03/13/2018
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