Individual
NICHOLAS BRETT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1502 OXFORD DR STE 100, GEORGETOWN, KY 40324-8096
(502) 570-3785
Mailing address
4600 FORT HENRY DR, KINGSPORT, TN 37663
(423) 224-3950
(423) 224-3959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101253346
VA
207Q00000X
Family Medicine Physician
Primary
40228
KY
207Q00000X
Family Medicine Physician
45319
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194777953
—
VA
05
—
1515572
—
TN
01
—
P01758949
RAILROAD MEDICARE
TN
Enumeration date
05/17/2006
Last updated
06/16/2023
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