Individual
DE'ANGELO SHAQUILLE RAESHUN SMOTHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2173
(423) 778-7628
Mailing address
16931 RANKIN AVE # 100, DUNLAP, TN 37327-7029
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
72145
TN
Other
Enumeration date
04/28/2022
Last updated
06/27/2025
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