Individual
GREGORY WAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118
Mailing address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
07526
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3901566
—
TN
Enumeration date
07/12/2006
Last updated
12/20/2013
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