Individual
DR. JENIE M. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 MAIN ST, LEWISTON, ME 04240-5801
(207) 783-1449
(207) 777-3865
Mailing address
710 MAIN ST, LEWISTON, ME 04240-5801
(207) 783-1449
(207) 777-3865
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
015392
ME
207RN0300X
Nephrology Physician
Primary
015392
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC/010349848,003
ANTHEM BC/BS
ME
01
—
M54225C
CIGNA
ME
Enumeration date
06/06/2006
Last updated
02/26/2013
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