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Individual

CHARLES D SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS OT

Contact information

Practice address
1035 N HIGHLAND AVENUE, MURFREESBORO, TN 37130
(615) 217-0259
(615) 217-1290
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(866) 800-9147
(615) 591-6601

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1527
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4170804
BCBS OF TENNESSEE
TN
Enumeration date
03/23/2006
Last updated
08/18/2009
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