Individual
TARA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 WOODBURY ST, SHELBYVILLE, TN 37160-2758
(931) 560-3066
Mailing address
1110 WOODBURY ST, SHELBYVILLE, TN 37160-2758
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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