Individual
MR. RONALD STEVEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 BROOKSIDE DR, STE 12, KINGSPORT, TN 37660-4613
(423) 392-6521
(423) 392-6511
Mailing address
1920 BROOKSIDE DR, STE 12, KINGSPORT, TN 37660-4613
(423) 392-6521
(423) 392-6511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD0000013797
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018152
BCTN
TN
01
—
069098
BCVA
VA
05
—
3189819
—
TN
Enumeration date
10/02/2006
Last updated
07/08/2007
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