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Organization

CRIPPS, HOOPER & RHODY, PLLC

Active
Other names
Family Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHIKO MARTIN (OFFICE MANAGER)
(615) 597-4395
Entity
Organization

Contact information

Practice address
302 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
(615) 597-4395
(615) 597-5075
Mailing address
302 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
(615) 597-4395
(615) 597-5075

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3724068
TN
01
44D0678624
CLIA NUMBER
TN
Enumeration date
09/13/2006
Last updated
10/14/2021
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