Individual
DR. STACY C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10524 E HIGHWAY 92, HEREFORD, AZ 85615-8371
(520) 366-0300
(520) 366-0440
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4185
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD0000033840
TN
207RI0011X
Interventional Cardiology Physician
Primary
33840
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4054304
BCBS
TN
Enumeration date
10/11/2006
Last updated
04/23/2021
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