Individual
CLYDE R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-3610
(901) 226-3612
Mailing address
2280 RIVERDALE RD, GERMANTOWN, TN 38138-4518
(901) 573-0325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16756
TN
207Q00000X
Family Medicine Physician
E-14356
AR
207R00000X
Internal Medicine Physician
16756
TN
Other
Enumeration date
11/17/2005
Last updated
03/22/2024
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