Carolyn Shannon Smith in Milwaukee - Sports Medicine
Carolyn Shannon Smith - NPI 1902965965
Carolyn Shannon Smith is a Sports Medicine in Milwaukee, Wisconsin. Carolyn Shannon Smith practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Carolyn Shannon Smith is 1902965965. The last update date is 2007-07-08.
Carolyn Shannon Smith's current location address is 240 W Indian Creek Ct, Milwaukee, Wisconsin. You can contact this provider via phone number 4145406593. The mailing address for Carolyn Shannon Smith is 240 W Indian Creek Ct, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Shannon Smith |
|---|---|
| Address | 240 W Indian Creek Ct, Milwaukee, Wisconsin |
| Phone Number | 4145406593 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902965965 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 240 W Indian Creek Ct |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532172323 |
| Phone Number | 4145406593 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 38125 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Carolyn Shannon Smith by the Centers for Medicare & Medicaid Services?
The Carolyn Shannon Smith has been issued the NPI (National Provider Identifier) 1902965965 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Carolyn Shannon Smith's physical address?
The Carolyn Shannon Smith is physically located at 240 W Indian Creek Ct, in the city of Milwaukee, WI, with the postal code 532172323.
What is the area of specialization for Carolyn Shannon Smith, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Carolyn Shannon Smith is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qs0010X.
On what date did the Carolyn Shannon Smith receive the assignment of its 1902965965 from the Centers for Medicare & Medicaid Services?
The Carolyn Shannon Smith was issued its 1902965965 by the Centers for Medicare & Medicaid Services on 2006-12-06.
When was the information pertaining to Carolyn Shannon Smith most recently updated or revised?
The details related to Carolyn Shannon Smith, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.