Provider Demographics
NPI:1407820400
Name:SMITHSON, DAVID NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NEIL
Last Name:SMITHSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1605 WESTGATE CIR
Mailing Address - Street 2:BOX 100
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8395
Mailing Address - Country:US
Mailing Address - Phone:615-678-0024
Mailing Address - Fax:615-610-6331
Practice Address - Street 1:1605 WESTGATE CIR
Practice Address - Street 2:BOX 100
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8395
Practice Address - Country:US
Practice Address - Phone:615-678-0024
Practice Address - Fax:615-610-6331
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2017-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL12632207R00000X
TN13415207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALB04354Medicare UPIN