M Kevin Smith Md Pc | |
4230 Harding Pike Ste 104 Nashville TN 37205-4900 | |
(615) 383-4748 | |
Not Available |
Full Name | M Kevin Smith Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 4230 Harding Pike Ste 104, Nashville, Tennessee |
Authorized Official Name and Position | Lisa Smith (SECRETARY) |
Authorized Official Contact | 6156123541 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
M Kevin Smith Md Pc Po Box 50976 Nashville TN 37205-9998 Ph: (615) 383-4748 | M Kevin Smith Md Pc 4230 Harding Pike Ste 104 Nashville TN 37205-4900 Ph: (615) 383-4748 |
NPI Number | 1548237266 |
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Provider Enumeration Date | 03/01/2006 |
Last Update Date | 12/05/2022 |
Medicare PECOS PAC ID | 7113392473 |
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Medicare Enrollment ID | O20230419000619 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548237266 | NPI | - | NPPES |
110215825 | Other | TN | MCARE RAILROAD |
3158590 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD27936 (Tennessee) | Primary |
Provider Name | Michael K Smith |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548460066 PECOS PAC ID: 2163511478 Enrollment ID: I20081007000079 |
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