Provider Demographics
NPI:1922035492
Name:SMITH, MARTHA J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:J
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1128 E WEISGARBER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2674
Mailing Address - Country:US
Mailing Address - Phone:865-579-0552
Mailing Address - Fax:865-579-1154
Practice Address - Street 1:1128 E WEISGARBER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2674
Practice Address - Country:US
Practice Address - Phone:865-579-0552
Practice Address - Fax:865-579-1154
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2016-08-25
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Provider Licenses
StateLicense IDTaxonomies
TNMD41211207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
620476822OtherTAX ID