| Doctor Name: | MICHAEL LEWIS SMITH |
| NPI Number: | 1518984194 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD08334 |
| Business Practice Address: | 255 Wayne Rd Ste B Savannah, TN - 383721948 |
| Business Phone Number: | 7319258016 |
| Business Fax Number: | 7319259514 |
| Mailing Address: | Po Box 655, 255 B Wayne Road SAVANNAH |
| State: | TN |
| Postal Code: | 383720655 |
| Phone Number: | 7319252300 |
| Fax Number: | 7319252157 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 03/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD08334 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |