Individual
RANDEL L SMITH
Active
Individual
RANDEL L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
15148
MS
207RC0000X
Cardiovascular Disease Physician
73627
TN
207RI0011X
Interventional Cardiology Physician
15148
MS
207RI0011X
Interventional Cardiology Physician
Primary
73627
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118202
—
MS
01
—
1559066
AMERICAN ADMIN GROUP
MS
05
—
1928658
—
LA
Enumeration date
08/29/2006
Last updated
05/27/2025
Update your record
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