Individual
DR. PAUL GRAYSON SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2121 N OCOEE ST, SUITE 101, CLEVELAND, TN 37311-3953
(423) 472-6548
(423) 472-8318
Mailing address
2121 N OCOEE ST, SUITE 101, CLEVELAND, TN 37311-3953
(423) 472-6548
(423) 472-8318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO256
TN
207Q00000X
Family Medicine Physician
OS3710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0140208
UNITED HEALTHCARE
TN
01
—
10811010
CAQH
TN
01
—
2000307
BCBS OF TN
TN
05
—
3719099
—
TN
01
—
FP62706
WORKER'S COMP
TN
01
—
TN0101
JOHN DEERE HEALTH
TN
Enumeration date
06/08/2006
Last updated
07/09/2007
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