Individual
DR. JACK RANDALL RHODY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
(615) 597-4395
(615) 597-5075
Mailing address
302 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
(615) 597-4395
(615) 597-5075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000017487
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3023873
—
TN
Enumeration date
08/16/2005
Last updated
07/08/2007
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