Most Relevant Information
Provider Data
| NPI Number: | 1003445784 |
| Provider Name: | CARRA MCKENNAH SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2020 |
| Last Updated: | 03/25/2022 |
Provider Practice Location
3601 THE VANDERBILT CLINIC
NASHVILLE
TN
372323809
Practice Location Phone/Fax
| Phone: | 6159369177 |
| Fax: |
Provider Mailing Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE
TN
372152691
Provider Mailing Phone/Fax
| Phone: | 6159362000 |
| Fax: |