Individual
PATRICIA G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8TH AVENUE, BLDG 250, SMYRNA, TN 37167
(615) 267-7458
Mailing address
4355 MINT RD, MARYVILLE, TN 37803-2218
(865) 705-4122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2014
TN
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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