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Individual

DR. LOVELL BERNARD SMITH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
554 GREEN TREE CV, STE 202, COLLIERVILLE, TN 38017-2551
(901) 570-1775
(901) 853-4530
Mailing address
554 GREEN TREE CV STE 202, COLLIERVILLE, TN 38017-2551
(901) 570-1775
(833) 765-0928

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39730
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08084063
MS
01
103I021824
MEDICARE PTAN
TN
05
1507654
TN
05
200419540A
IN
01
4313546
BS TN
TN
Enumeration date
06/22/2005
Last updated
02/26/2026
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