Organization
GRACE PRIMARY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY D. SMITH M.D. (OWNER)
(423) 663-4200
Entity
Organization
Contact information
Practice address
950 BAKER HWY, SUITE 4, HUNTSVILLE, TN 37756-4168
(423) 663-4200
(423) 663-4256
Mailing address
950 BAKER HWY, SUITE 4, HUNTSVILLE, TN 37756-4168
(423) 663-4200
(423) 663-4256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3717835
TN
Other
Enumeration date
06/01/2006
Last updated
01/04/2010
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