Individual
MR. STEPHEN TYLER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 SHILOH RD, GREENEVILLE, TN 37745-0595
(865) 256-3088
Mailing address
217 BINFIELD RD, MARYVILLE, TN 37801-7636
(865) 256-3088
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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