Smith, Christian Charles
Smith, Christian Charles is an individual health care provider with primary practice located at 8055 Club Pkwy , Cordova TN 38016-5967. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Smith, Christian Charles can be contacted via phone (901) 309-7700.Contact Information
Primary practice address
8055 Club Pkwy
Cordova TN 38016-5967
Phone: (901) 309-7700
Fax: (901) 507-3297
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 672 | Tennessee |
Profile Details
NPI number | 1134125511 |
---|---|
LBN Legal business name | Smith, Christian Charles |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2005 |
Last updated | Apr 2nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134125511 | NPPES |
Tennessee | MEDICAID | 3350006 |
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