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Individual

DR. PHILIP W SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 DODDS AVE, CHATTANOOGA, TN 37404-3911
(423) 362-4000
(423) 362-4004
Mailing address
601 DODDS AVE, CHATTANOOGA, TN 37404-3911
(423) 362-4000
(423) 362-4004

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD28619
TN
2086S0102X
Surgical Critical Care Physician
MD28619
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2536483
OH
01
2611015
CIGNA
01
4085131
BCBS OF TN
05
830964577B
GA
05
Q002533
TN
01
TN0185
JDH
Enumeration date
09/09/2005
Last updated
11/13/2025
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