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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1124043161 | NPPES |
| Tennessee | MEDICAID | 3077434 |
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