Individual
DR. DEVON D. SMITH
Active
Individual
DR. DEVON D. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21152
TN
207R00000X
Internal Medicine Physician
Primary
21152
TN
208M00000X
Hospitalist Physician
21152
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100024081
PHP TNCARE
TN
01
—
208941765
TAX ID
TN
05
—
3069190
—
TN
05
—
3370150
—
TN
01
—
363946
ANTHEM BCBS
KY
01
—
4153913
BCBS
TN
05
—
64920887
—
KY
01
—
TN0116
JOHN DEERE INS.
—
Enumeration date
03/16/2006
Last updated
06/12/2018
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