Individual
DR. GEORGE EDWARD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD18955
TN
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD18955
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3019173
BCBS PROVIDER #
TN
05
—
3093110
—
TN
01
—
5074002
AETNA PROVIDER #
TN
01
—
TN010
JOHN DEERE PROV #
TN
Enumeration date
07/11/2005
Last updated
11/16/2007
Update your record
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