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Individual

JOEL S SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
6401 MOUNTAIN VIEW ROAD, SUITE 101, OOLTEWAH, TN 37363
(423) 495-5951
(423) 495-5999
Mailing address
6401 MOUNTAIN VIEW ROAD, SUITE 101, OOLTEWAH, TN 37363
(423) 495-5951
(423) 495-5999

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12157
TN
363L00000X
Nurse Practitioner
APN0000012157
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
891017510
AL
Enumeration date
08/30/2006
Last updated
11/04/2014
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