Coy Smith

NPI 1710462569 · on the registry since 2018

Practice

Address: 8600 Woodward Ave
Detroit, MI 48202
Phone: (313) 875-7601
Fax: (313) 871-1891
Organisation at this address: Neighborhood Service Organization
Community Health And Social Services Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 99

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan