Organization
BOWDOIN G. SMITH D.O.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOWDOIN GRAYSON SMITH D.O. (PHYSICIAN OWNER)
(615) 735-0202
Entity
Organization
Contact information
Practice address
9 MAGGART CIR, CARTHAGE, TN 37030-2151
(615) 735-0202
(615) 735-3011
Mailing address
9 MAGGART CIR, CARTHAGE, TN 37030-2151
(615) 735-0202
(615) 735-3011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO741
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346345154
INDIVIDUAL NPI
TN
05
—
3280513
—
TN
01
—
F03086
PHYSICIAN UPIN
TN
Enumeration date
06/11/2007
Last updated
11/17/2011
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