Provider Demographics
NPI:1942419239
Name:BINKLEY, LAURA SMALLWOOD (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:SMALLWOOD
Last Name:BINKLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:SMALLWOOD
Other - Last Name:FORBES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-851-6033
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:330 23RD AVE N
Practice Address - Street 2:SUITE 604
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1534
Practice Address - Country:US
Practice Address - Phone:615-986-6039
Practice Address - Fax:615-234-1520
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47118207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1524494Medicaid
TN6073070OtherBLUE CROSS BLUE SHIELD
TN103I165358Medicare PIN