| Terry W. Smith M.d., P.c. | |
|
6237 Vance Rd Suite 3 Chattanooga TN 37421-2954 | |
| (423) 551-3940 | |
| (423) 305-7981 |
| Full Name | Terry W. Smith M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 6237 Vance Rd, Chattanooga, Tennessee |
| Authorized Official Name and Position | Terry Smith (OWNER) |
| Authorized Official Contact | 4235513940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry W. Smith M.d., P.c. 6237 Vance Rd Suite 3 Chattanooga TN 37421-2954 Ph: (423) 551-3940 | Terry W. Smith M.d., P.c. 6237 Vance Rd Suite 3 Chattanooga TN 37421-2954 Ph: (423) 551-3940 |
| NPI Number | 1003350836 |
|---|---|
| Provider Enumeration Date | 12/13/2016 |
| Last Update Date | 02/07/2017 |
| Medicare PECOS PAC ID | 7113012923 |
|---|---|
| Medicare Enrollment ID | O20071008000599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003350836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15659 (Tennessee) | Primary |
| Provider Name | Terry W Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033105689 PECOS PAC ID: 0749259794 Enrollment ID: I20040928000153 |
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