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Individual

JOHN TIMOTHY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
400 W MEADECREST DR, KNOXVILLE, TN 37923-2432
(865) 531-0033
Mailing address
9200 MIDDLEBROOK PIKE, KNOXVILLE, TN 37931-4701
(865) 531-0033

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000007482
TN
183500000X
Pharmacist
13679
LA

Other

Enumeration date
11/04/2011
Last updated
11/04/2011
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