Organization
FATHER AND SON FAMILY MEDICINE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLIN G SMITH DO (PHYSICIAN)
(931) 644-2061
Entity
Organization
Contact information
Practice address
315 N WASHINGTON AVE, COOKEVILLE, TN 38501-2603
(931) 644-2061
Mailing address
315 N WASHINGTON AVE, COOKEVILLE, TN 38501-2603
(931) 644-2061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2681
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
XS4690043
TN
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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