# FATHER AND SON FAMILY MEDICINE CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316334428
- **Authorized official:** DR. COLIN G SMITH DO (PHYSICIAN)
- **Authorized official phone:** (931) 644-2061

## Contact information

- **Practice address:** 315 N WASHINGTON AVE, COOKEVILLE, TN 38501-2603
- **Practice address phone:** (931) 644-2061
- **Mailing address:** 315 N WASHINGTON AVE, COOKEVILLE, TN 38501-2603
- **Mailing address phone:** (931) 644-2061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2681 | TN | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | XS4690043 | TN | — |

## Other

- **Enumeration date:** 04/16/2015
- **Last updated:** 04/16/2015