Provider Demographics
NPI:1083747091
Name:SMITH, TOBIE-LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:TOBIE-LYNN
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4910 MASSACHUSETTS AVE NW STE 115
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4360
Mailing Address - Country:US
Mailing Address - Phone:202-237-0015
Mailing Address - Fax:
Practice Address - Street 1:4910 MASSACHUSETTS AVE NW STE 115
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4360
Practice Address - Country:US
Practice Address - Phone:202-237-0015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0070923207Q00000X
TXM9666207Q00000X
DCMD039995207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine