# CRIPPS, HOOPER & RHODY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679677199
- **Authorized official:** MRS. MICHIKO MARTIN (OFFICE MANAGER)
- **Authorized official phone:** (615) 597-4395

## Contact information

- **Practice address:** 302 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
- **Practice address phone:** (615) 597-4395
- **Practice address fax:** (615) 597-5075
- **Mailing address:** 302 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
- **Mailing address phone:** (615) 597-4395
- **Mailing address fax:** (615) 597-5075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 10/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3724068 | — | TN |
| 01 | — | 44D0678624 | CLIA NUMBER | TN |