Individual
DR. TATANISHA PATRICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50289
TN
208000000X
Pediatrics Physician
MD433744
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021638590001
—
PA
05
—
2857154
—
OH
05
—
3810012511
—
WV
01
—
50289
TN MED LIC
TN
Enumeration date
03/19/2008
Last updated
09/23/2020
Update your record
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