Individual
DR. CLARENCE EDWIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
209 CHEROKEE STATION DR, NASHVILLE, TN 37209-4971
(502) 447-8786
(502) 447-8623
Mailing address
209 CHEROKEE STATION DR, NASHVILLE, TN 37209-4971
(502) 447-8786
(502) 447-8623
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01067962A
IN
2085R0202X
Diagnostic Radiology Physician
42351
TN
2085R0202X
Diagnostic Radiology Physician
Primary
43579
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513907
—
TN
05
—
300102033
—
IN
05
—
7100084220
—
KY
Enumeration date
01/04/2007
Last updated
03/07/2025
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