Individual
HERBERT X SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1559 SPARTA ST, MC MINNVILLE, TN 37110-1316
(931) 815-4000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14991
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3880646
—
TN
01
—
4120801
BLUE CROSS
TN
01
—
4128712
BLUE CROSS
TN
01
—
P00294880
MEDICARE RAILROAD
TN
01
—
P00318698
MEDICARE RAILROAD
TN
Enumeration date
06/07/2006
Last updated
11/07/2007
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