Individual
MARLA LANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
107 NATCHEZ PARK DR, DICKSON, TN 37055-9013
(615) 326-2960
Mailing address
1040 KENDALL FARMS DR, HENDERSONVILLE, TN 37075-9738
(615) 293-0456
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1466
TN
Other
Enumeration date
12/05/2006
Last updated
09/26/2022
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