Smith, Leslie Eugene

Smith, Leslie Eugene is an sole proprietor health care provider with primary practice located at 5100 Poplar Ave Ste 2222 , Memphis TN 38137-2207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Smith, Leslie Eugene can be contacted via phone (901) 377-5891.

Contact Information

Primary practice address
5100 Poplar Ave Ste 2222 Memphis TN 38137-2207
Phone: (901) 377-5891
Fax: (901) 384-8646
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD04682 Tennessee
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0000024682 Tennessee

Profile Details

NPI number 1124043161
LBN Legal business name Smith, Leslie Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated May 11th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124043161 NPPES
Tennessee MEDICAID 3077434

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