Individual
DR. JERRY MARK SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 WHITE BRIDGE RD, NASHVILLE, TN 37205-1411
(615) 352-0011
(615) 352-0085
Mailing address
820 SPRINGER DR, LOMBARD, IL 60148-6413
(815) 744-8554
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
50688
TN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
50688
TN
Other
Enumeration date
06/30/2010
Last updated
04/03/2023
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