Individual
TONI MICAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 FOX AND HOUND WAY, NEWPORT, TN 37821-8074
(423) 532-8105
Mailing address
135 FOX AND HOUND WAY, NEWPORT, TN 37821-8074
(423) 532-8105
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000096315
TN
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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