Individual
TRAVIS DEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
443 GROVER LN, JAMESTOWN, TN 38556-5568
(931) 239-2495
(931) 879-2788
Mailing address
443 GROVER LN, JAMESTOWN, TN 38556-5568
(931) 239-2495
(931) 879-2788
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
00067774
TN
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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