Individual
GREGORY ALLEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 CLARK DR, COLUMBIA, TN 38401
(931) 446-6554
Mailing address
203 CLARK DR, COLUMBIA, TN 38401-4557
(931) 446-6554
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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