Provider Demographics
NPI:1508805797
Name:SMITH, STEVEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:441 PARKWAY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-3469
Mailing Address - Country:US
Mailing Address - Phone:865-774-4440
Mailing Address - Fax:865-774-4868
Practice Address - Street 1:441 PARKWAY
Practice Address - Street 2:SUITE 2
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-3469
Practice Address - Country:US
Practice Address - Phone:865-774-4440
Practice Address - Fax:865-774-4868
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2009-02-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD15308207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00664863OtherRAIL ROAD MEDICARE
TN3734041Medicare PIN