Bowdoin G. Smith D.O.,P.C.
Organization Active NPI Family Medicine Physician · Carthage, TN
NPI 1659575181 · NPPES record last updated Nov 17, 2011
Key facts
- NPI
- 1659575181
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO741 (TN)
- Legal business name
- BOWDOIN G. SMITH D.O.,P.C.
- Practice address
- 9 Maggart Cir
Carthage, TN 37030-2151 - Phone
- (615) 735-0202
- Fax
- (615) 735-3011
- NPI assigned
- Jun 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Bowdoin Grayson Smith, D.O.
- Title
- Physician Owner
- Phone
- (615) 735-0202
Practitioners 1
-
Karen L Sexton, PA-C
National Provider Directory
Locations
9 Maggart Cir
Carthage, TN 37030
Phone (615) 735-0202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | DO741 | TN | Yes |
Addresses
Primary practice location
9 Maggart Cir
Carthage, TN 37030-2151
Mailing address
9 Maggart Cir
Carthage, TN 37030-2151
Phone (615) 735-0202
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F03086 | Other | TN | PHYSICIAN UPIN |
| 3280513 | Medicaid | TN | |
| 1346345154 | Other | TN | INDIVIDUAL NPI |
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All providers in Carthage, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.