Individual
DR. MARK THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
592 MAIN ST N, MC KENZIE, TN 38201-1707
(731) 352-2020
(731) 352-3314
Mailing address
592 MAIN ST N, MC KENZIE, TN 38201-1707
(731) 352-2020
(731) 352-3314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2945
TN
Other
Enumeration date
09/09/2010
Last updated
11/20/2024
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