Individual
MASON SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CORNER OF LAMONT STREET AND VETERANS WAY, MOUNTAIN HOME, TN 37684
(423) 972-7071
Mailing address
675 PRUITT RD S, GREENEVILLE, TN 37743-3142
(423) 972-7071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
224319
TN
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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