Individual
DR. GROVER RANDOLPH SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5039 HILLSBORO PIKE, 138 JEFFERSON SQUARE, NASHVILLE, TN 37215-3712
(615) 383-2768
(615) 383-2768
Mailing address
5039 HILLSBORO PIKE, 138 JEFFERSON SQUARE, NASHVILLE, TN 37215-3712
(615) 383-2768
(615) 383-2768
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD0000004726
TN
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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