Individual
BRENT MATTHEW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
340 RURITAN RD, MOORESBURG, TN 37811-5567
(423) 300-1532
Mailing address
340 RURITAN RD, MOORESBURG, TN 37811-5567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
271446
TN
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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