Organization
DEVON D. SMITH, MD
Active
Other names
Grace Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON D SMITH MD (OWNER)
(423) 307-8088
Entity
Organization
Contact information
Practice address
1621 W MORRIS BLVD STE A, MORRISTOWN, TN 37813-2967
(423) 307-8088
(423) 307-8049
Mailing address
1621 W MORRIS BLVD STE A, MORRISTOWN, TN 37813-2967
(423) 307-8088
(423) 307-8049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD21152
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069190
—
TN
01
—
4153913
BLUE CROSS BLUE SHIELD
TN
Enumeration date
09/18/2007
Last updated
01/04/2008
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