Individual
MR. RUSSELL J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 983-7211
Mailing address
PO BOX 6700, MARYVILLE, TN 37802-6700
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
17627
TN
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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