Individual
RICKY ALLEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 N OAK AVE, COOKEVILLE, TN 38501-2440
(931) 783-4103
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD15982
TN
Other
Enumeration date
08/24/2006
Last updated
05/27/2022
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