Organization
LOVELL SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOVELL BERNARD SMITH JR. MD (MD/PRESIDENT)
(866) 224-5612
Entity
Organization
Contact information
Practice address
6027 WALNUT GROVE RD, SUITE 118, MEMPHIS, TN 38120-2145
(866) 224-5612
(901) 853-4530
Mailing address
6027 WALNUT GROVE RD, SUITE 118, MEMPHIS, TN 38120-2145
(866) 224-5612
(901) 853-4530
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39730
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
03/13/2008
Last updated
03/13/2008
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