Individual
HOLLY NICHOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13590B N MERIDIAN ST STE 100, CARMEL, IN 46032-1409
(317) 676-7858
(317) 868-5784
Mailing address
6866 W STONEGATE DR, SUITE 100, ZIONSVILLE, IN 46077-8050
(317) 768-6000
(317) 768-6015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01074722A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201165510
—
IN
Enumeration date
03/20/2013
Last updated
07/12/2022
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