Individual
MS. SUSAN A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 DOOLEY ST SE, CLEVELAND, TN 37311-6220
(423) 728-7020
(423) 479-6130
Mailing address
201 DOOLEY ST SE, CLEVELAND, TN 37311-6220
(423) 728-7020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133418
TN
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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