Individual
ALESIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NONE
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7487
Mailing address
1030 JEFFERSON AVENUE, MEMPHIS, TN 38104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NONE
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000000000
VA HOSPITAL
—
Enumeration date
08/01/2017
Last updated
08/01/2017
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