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Individual

SCOTT E SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
315 OAK ST, LIVINGSTON, TN 38570-1728
(931) 823-5611
Mailing address
PO BOX 440246, NASHVILLE, TN 37244-0246
(615) 620-2333
(615) 620-2323

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10758
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01072314
AMERIGROUP COMMUNITY CARE - TNCARE ONLY
TN
05
3634916
TN
01
4111682
BC/BS TN -NETWORKS P, S, TENNSELECT, BLUECARE
TN
05
74011354
KY
Enumeration date
10/24/2006
Last updated
05/12/2010
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