Individual
DR. JOHN KELLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 N STATE OF FRANKLIN RD, 2ND FLOOR, JOHNSON CITY, TN 37604-6056
(423) 439-7280
(423) 439-8110
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD0000012502
TN
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
MD0000012502
TN
Other
Enumeration date
02/12/2008
Last updated
11/05/2010
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