Organization
OK SMITH JR MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
O K SMITH JR. MD (OWNER)
(731) 884-1515
Entity
Organization
Contact information
Practice address
1109 E REELFOOT AVE, SUITE H, UNION CITY, TN 38261-5856
(731) 884-1515
(731) 884-1512
Mailing address
1109 E REELFOOT AVE, SUITE H, UNION CITY, TN 38261-5856
(731) 884-1515
(731) 884-1512
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370080
—
TN
Enumeration date
05/15/2007
Last updated
05/20/2008
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