| Gary J Smith Md Pc | |
|
7640 Highway 70 S Nashville TN 37221-1758 | |
| (615) 646-8098 | |
| (615) 646-8557 |
| Full Name | Gary J Smith Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7640 Highway 70 S, Nashville, Tennessee |
| Authorized Official Name and Position | Gary J Smith (PRESIDENT) |
| Authorized Official Contact | 6156468098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary J Smith Md Pc 7640 Highway 70 S Nashville TN 37221-1758 Ph: (615) 646-8098 | Gary J Smith Md Pc 7640 Highway 70 S Nashville TN 37221-1758 Ph: (615) 646-8098 |
| NPI Number | 1902002975 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2365637238 |
|---|---|
| Medicare Enrollment ID | O20101117000994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902002975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | MD19182 (Tennessee) | Primary |
| Provider Name | Gary Joe Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659375228 PECOS PAC ID: 0648465518 Enrollment ID: I20101117000971 |
| Provider Name | Elizabeth Ann Evers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861412405 PECOS PAC ID: 7416137682 Enrollment ID: I20110204000191 |
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