Individual
BARBARA ELLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
781 WEATHERLY DR APT C, CLARKSVILLE, TN 37043-8954
(913) 444-5040
Mailing address
820 SPRINGER DR, LOMBARD, IL 60148-6413
(815) 744-8554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3492
TN
Other
Enumeration date
12/22/2017
Last updated
04/03/2023
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