Individual
BILL MOORE SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
632 MORRISON SPRINGS ROAD, SUITE #202, CHATTANOOGA, TN 37415
(423) 778-3390
(423) 778-3391
Mailing address
632 MORRISON SPRINGS ROAD, SUITE #202, CHATTANOOGA, TN 37415
(423) 778-3390
(423) 778-3391
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20573
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522960
—
TN
Enumeration date
02/22/2006
Last updated
01/03/2020
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