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Individual

DEIDRA GAYLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9527 W RIDGE TRAIL RD, SODDY DAISY, TN 37379-4018
(423) 842-3013
(423) 842-5050
Mailing address
9527 W RIDGE TRAIL RD, SODDY DAISY, TN 37379-4018
(423) 842-3013
(423) 842-5050

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000188381
TN

Other

Enumeration date
02/18/2015
Last updated
02/18/2015
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