Individual
MR. RONALD RAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
520 WARREN CHAPEL RD, DECHERD, TN 37324-3937
(931) 962-5060
(931) 962-5162
Mailing address
1503 N JACKSON ST, TULLAHOMA, TN 37388-2343
(615) 594-9144
(931) 962-5162
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
12132
TN
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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