Individual
MARY SMILEY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
185 HOSPITAL RD, WINCHESTER, TN 37398-2404
(931) 967-8200
Mailing address
3709 MAYFIELD DR, KNOXVILLE, TN 37918-3440
(615) 319-4878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
182841
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
22147
TN
Other
Enumeration date
05/02/2016
Last updated
11/13/2018
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