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Individual

DR. JOHN CHRISTOPHER SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1211 ASHLEY CIR, BOWLING GREEN, KY 42104-3383
(270) 782-8700
(270) 782-8704
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 782-8704

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34089
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64020365
KY
Enumeration date
12/13/2006
Last updated
03/15/2016
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