Organization
SMITH COUNTY FAMILY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW B KINGSBAUER D.O. (PRESIDENT)
(615) 683-3400
Entity
Organization
Contact information
Practice address
8 NEW MIDDLETON HWY, SUITE A, GORDONSVILLE, TN 38563-6516
(615) 683-3400
(615) 683-3402
Mailing address
8 NEW MIDDLETON HWY, STE A, GORDONSVILLE, TN 38563-6516
(615) 683-3400
(615) 683-3402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3726378
—
TN
Enumeration date
05/11/2006
Last updated
04/30/2009
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