Individual
DR. GREG N SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25764
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000046155
ANTHEM
KY
05
—
100373840
—
IN
01
—
1049112
PASSPORT
KY
01
—
130006170
MEDICARE ID
—
01
—
2432393000
PASSPORT ADVANTAGE
KY
05
—
64257645
—
KY
Enumeration date
12/29/2005
Last updated
12/02/2020
Update your record
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