Individual
NICHOLAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 E MAIN ST, MURFREESBORO, TN 37132-0002
(901) 461-7241
Mailing address
1301 E MAIN ST PO 6774, MURFREESBORO, TN 37132-0001
(901) 461-7241
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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