Individual
DR. AUDREY MARCELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4409 CENTRAL AVENUE PIKE # 102103, KNOXVILLE, TN 37912-4081
(865) 378-6929
Mailing address
1441 SPRING PASS WAY, KNOXVILLE, TN 37919-9044
(865) 414-4151
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD028569
TN
207Q00000X
Family Medicine Physician
Primary
MD028569
TN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD028569
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3809604
—
TN
Enumeration date
08/16/2006
Last updated
11/02/2022
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