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Individual

STEVEN C SMITH

Active
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Individual

STEVEN C SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.201367
LA
207R00000X
Internal Medicine Physician
Primary
MD0000044858
TN
208000000X
Pediatrics Physician
MD.201367
LA
208000000X
Pediatrics Physician
MD0000044858
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1237639
LA
05
1514493
TN
05
3283015
TN
01
4228168
BLUE CROSS/BLUE SHIELD
TN
Enumeration date
06/20/2007
Last updated
01/27/2010
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