Individual
MRS. ANGELA D. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFOM, CFTS
Contact information
Practice address
1334 MACKEY BRANCH DR, SUITE 104, CHATTANOOGA, TN 37421-3471
(423) 296-2604
(423) 296-2607
Mailing address
1334 MACKEY BRANCH DR, SUITE 104, CHATTANOOGA, TN 37421-3471
(423) 296-2604
(423) 296-2607
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455062
—
TN
Enumeration date
09/21/2010
Last updated
04/29/2016
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