Individual
MR. TOMMY MAURICE SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SSC
Contact information
Practice address
3212 REMINGTON TRCE APT 203, MEMPHIS, TN 38119-9194
(901) 474-9162
Mailing address
3212 REMINGTON TRCE APT 203, MEMPHIS, TN 38119-9194
(901) 474-9162
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
104555543
TN
Other
Enumeration date
07/24/2023
Last updated
07/25/2023
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