Individual
DR. CAROLYN MARION SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3620 N LAUREN LN, BLOOMINGTON, IN 47404-9206
(317) 697-7607
(317) 574-0050
Mailing address
3620 N LAUREN LN, BLOOMINGTON, IN 47404-9206
(317) 697-7607
(317) 574-0050
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
01027170
IN
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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