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Individual

ROGER GORDON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1030 JEFFERSON AVE DEPT 11C, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7434
Mailing address
1030 JEFFERSON AVE DEPT 11C, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7434

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TN

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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