Female

Dr. Tatanisha P. Smith MD

Pediatrics Physician in Nashville, TN(View on Map)

Full Name

Dr. Tatanisha Patrice Smith MD

NPI Number

1548431356

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/19/2008

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Pennsylvania
Tennessee

License Number

MD433744
50289

Contact
Information

Purpose

Mailing
Location

Address

393 WALLACE RD STE 202
393 WALLACE RD STE 202

City

Nashville
Nashville

State

TN
TN

Postal Code

37211-4834
37211

Country

US
US

Telephone Number

(615) 709-2057
(615) 709-2057

Identifiers

Identifier

2857154
3810012511
50289
1021638590001

Identifier State

OH
WV
TN
PA

Identifier Issuer

Unknown
Unknown
TN MED LIC
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/23/2020

Provider Address

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