Basic Information
| Provider Information | |||||||||
| NPI: | 1295955797 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SMITH | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | GREER | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2775 LOMBARDY AVE STE 989 | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381111921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8594576865 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 930 MADISON AVE STE 801 | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381033410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9018668605 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2007 | ||||||||
| LastUpdateDate: | 05/19/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | 2007029454 | MO | N | Allopathic & Osteopathic Physicians | Dermatology | 207N00000X | 43673 | KY | N | Allopathic & Osteopathic Physicians | Dermatology | 207N00000X | 55633 | TN | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.