| Mr Peter K Smith, MD | |
|
107 Imperial Blvd, Suite 3, Hendersonville, TN 37075-3479 | |
| (615) 824-9653 | |
| (615) 824-9663 |
| Full Name | Mr Peter K Smith |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 107 Imperial Blvd, Hendersonville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821053703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD020304 (Tennessee) | Primary |
| Entity Name | The Surgical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417983099 PECOS PAC ID: 1759271695 Enrollment ID: O20040316000974 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Peter K Smith, MD 107 Imperial Blvd, Suite 3, Hendersonville, TN 37075-3479 Ph: (615) 824-9653 | Mr Peter K Smith, MD 107 Imperial Blvd, Suite 3, Hendersonville, TN 37075-3479 Ph: (615) 824-9653 |
Mr. William Gerald Davis, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 107 Imperial Blvd, Suite 3, Hendersonville, TN 37075 Phone: 615-824-9653 Fax: 615-824-9663 | |
Patrick W Meacham, MD Surgery Medicare: Medicare Enrolled Practice Location: 353 New Shackle Island Rd Suite 348c, Hendersonville, TN 37075 Phone: 615-826-2127 Fax: 615-826-2129 | |
Chad R Swan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 353 New Shackle Island Rd, Suite B224, Hendersonville, TN 37075 Phone: 615-206-1700 Fax: 615-590-7268 | |
Dr. Bryan Tole Fisher Sr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 353 New Shackle Island Rd Ste 102a, Hendersonville, TN 37075 Phone: 615-500-7336 | |
John D Valentine, Surgery Medicare: Accepting Medicare Assignments Practice Location: 107 Glen Oak Blvd Ste 201a, Hendersonville, TN 37075 Phone: 615-757-3451 Fax: 615-757-3296 | |
Dr. Thomas B Taylor Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 353 New Shackle Island Rd Ste 247c, Hendersonville, TN 37075 Phone: 615-264-5850 |