Individual
DR. TERESA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 E BELLEFONTAINE RD, HAMILTON, IN 46742-9352
(260) 488-2211
(260) 488-3046
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057213A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200452930A
—
IN
Enumeration date
03/24/2006
Last updated
10/17/2022
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