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Individual

DR. BENJAMIN CLEVELAND SMITH III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
975 E 3RD ST, DEPARTMENT OF EMERGENCY MEDICINE, CHATTANOOGA, TN 37403-2147
(423) 778-1000
Mailing address
713 SHEARER COVE RD, CHATTANOOGA, TN 37405-1937
(205) 280-0654

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
27176
AL
207P00000X
Emergency Medicine Physician
Primary
43402
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051538722
BCBS OF AL
AL
05
051538722
AL
Enumeration date
10/12/2006
Last updated
06/23/2008
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