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Individual

MARVIN MONTGOMERY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1224 TROTWOOD AVE, DEPT OF RADIOLOGY, COLUMBIA, TN 38401-4802
(931) 381-1111
Mailing address
PO BOX 3239, INDIANAPOLIS, IN 46206-3239
(844) 295-4871

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
TL34514
SC
2085B0100X
Body Imaging Physician
TL34514
SC
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
TL34514
SC
2085N0700X
Neuroradiology Physician
TL34514
SC
2085N0904X
Nuclear Radiology Physician
TL34514
SC
2085P0229X
Pediatric Radiology Physician
TL34514
SC
2085R0001X
Radiation Oncology Physician
TL34514
SC
2085R0202X
Diagnostic Radiology Physician
Primary
46014
TN
2085R0202X
Diagnostic Radiology Physician
TL34514
SC
2085R0203X
Therapeutic Radiology Physician
TL34514
SC
2085R0204X
Vascular & Interventional Radiology Physician
TL34514
SC
2085R0205X
Radiological Physics Physician
TL34514
SC
2085U0001X
Diagnostic Ultrasound Physician
TL34514
SC

Other

Enumeration date
07/07/2007
Last updated
08/04/2021
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