Individual
DR. SAM SMISETH PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1332 HAZELWOOD DRIVE, SMYRNA, TN 37167
(615) 355-1338
(615) 459-2851
Mailing address
1332 HAZELWOOD DRIVE, SMYRNA, TN 37167
(615) 355-1338
(615) 459-2851
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD17184
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4111360
BCBS TN #
TN
Enumeration date
06/19/2006
Last updated
10/08/2009
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