Individual
COLIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
997 RIVER CURRENTS DR, MEMPHIS, TN 38103-5835
(703) 987-5730
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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