Organization
SMO CARE OF MO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LELAND HUTTON EADIE (DIRECTOR)
(615) 733-2064
Entity
Organization
Contact information
Practice address
111 W 10TH ST STE 101, KANSAS CITY, MO 64105-1700
(615) 386-0064
Mailing address
102 WOODMONT BLVD STE 350, NASHVILLE, TN 37205-2216
(615) 386-0064
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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