Individual
MADISON D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
114 W JACKSON BLVD, JONESBOROUGH, TN 37659-1224
(423) 753-1701
Mailing address
408 LEE ST APT 1, JOHNSON CITY, TN 37604-6191
(606) 226-6398
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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