Doctor Name: | RICHARD BENTON SMITH |
NPI Number: | 1699818799 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0000015148 |
Business Practice Address: | 5227 Murfreesboro Rd Suite 101 La Vergne, TN - 370862781 |
Business Phone Number: | 6152130005 |
Business Fax Number: | 6152130009 |
Mailing Address: | 1810 Coleman Hill Rd, ROCKVALE |
State: | TN |
Postal Code: | 371534407 |
Phone Number: | 6158966940 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0000015148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |