Organization
MICHAEL SMITH CONSTRUCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LYNN SMITH (OWNER)
(423) 774-0887
Entity
Organization
Contact information
Practice address
254 NEWBY LOOP RD, PIKEVILLE, TN 37367-4234
(423) 774-0887
Mailing address
254 NEWBY LOOP RD, PIKEVILLE, TN 37367-4234
(423) 774-0887
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
69586
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022907
—
TN
Enumeration date
09/01/2016
Last updated
09/01/2016
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