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Individual

NATHAN O. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
124 N HENDERSON AVE, SEVIERVILLE, TN 37862-5948
(865) 970-9800
(865) 374-7129
Mailing address
1451 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2441
(865) 374-7123
(865) 374-7129

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0000
TN

Other

Enumeration date
08/17/2011
Last updated
08/17/2011
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