Individual
JERRY LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SISKIN PLZ STE 101, CHATTANOOGA, TN 37403-1306
(423) 803-2226
(423) 803-2222
Mailing address
1 SISKIN PLZ STE 101, CHATTANOOGA, TN 37403-1306
(423) 803-2226
(423) 803-2222
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD0000026739
TN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
041960
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD26739
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10076869
AMERIGROUP
GA
01
—
376910
WELLCARE
GA
01
—
4126985
BCBSTN
TN
Enumeration date
03/27/2006
Last updated
08/10/2021
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