Individual
AMANDA SUZETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPHT
Contact information
Practice address
2202 MARTIN LUTHER KING JR AVE, KNOXVILLE, TN 37915-1570
(865) 522-6097
(865) 540-1615
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
79296
TN
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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