Individual
JOHN KEVIN SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1405 COWART ST STE 301, CHATTANOOGA, TN 37408-1179
(800) 950-0492
Mailing address
1405 COWART ST STE 301, CHATTANOOGA, TN 37408-1179
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10064502
TX
Other
Enumeration date
06/19/2018
Last updated
12/06/2023
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