Individual
GUY LYNWOOD SMOAK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BETHEL VALLEY RD, OAK RIDGE, TN 37830-8050
(865) 574-9355
(865) 574-9353
Mailing address
1 BETHEL VALLEY RD, OAK RIDGE, TN 37830-8050
(865) 574-9355
(865) 574-9353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18263
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3030905
—
TN
05
—
3030906
—
TN
01
—
4104246
BLUE CROSS/BLUE SHIELD
TN
01
—
P00236241
RAILROAD MEDICARE
TN
05
—
Q004773
—
TN
Enumeration date
05/01/2006
Last updated
10/14/2024
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