Smithson, Md, Stacy L
Smithson, Md, Stacy L is an individual health care provider with primary practice located at 1621 W Morris Blvd Ste A , Morristown TN 37813-2967. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Smithson, Md, Stacy L can be contacted via phone (423) 492-7100.Contact Information
Primary practice address
1621 W Morris Blvd Ste A
Morristown TN 37813-2967
Phone: (423) 492-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 18049 | South Carolina |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD198221 | Oregon |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 18049 | South Carolina |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 22067 | New Hampshire |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 68868 | Tennessee |
Profile Details
| NPI number | 1063499895 |
|---|---|
| LBN Legal business name | Smithson, Md, Stacy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jul 25th, 2023 - about 2 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 | 1063499895 | NPPES |
| South Carolina | MEDICAID | I80496 | |
| South Carolina | MEDICAID | GP3644 | |
| South Carolina | MEDICAID | Q084683 |
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