Individual
TIMOTHY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1755 KIRBY PKWY STE 330, MEMPHIS, TN 38120-4398
(901) 725-5846
(901) 726-4827
Mailing address
PO BOX 171306, MEMPHIS, TN 38187-1306
(800) 809-2106
(334) 386-2037
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
073646
TN
367500000X
Certified Registered Nurse Anesthetist
901722
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
9403
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q051167
—
TN
Enumeration date
10/31/2007
Last updated
02/10/2026
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