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Individual

DR. JEFFREY GALT SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
115 E BROOKLYN ST, LINDEN, TN 37096-3515
(931) 589-2104
(931) 589-2513
Mailing address
115 E BROOKLYN ST, P.O. BOX 916, LINDEN, TN 37096-3515
(931) 589-2104
(931) 589-2513

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021861
TN
207Q00000X
Family Medicine Physician
9601143
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3064922
TN
05
8976820
NC
05
N01143
SC
Enumeration date
09/29/2005
Last updated
05/20/2011
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