person
Sullivan Daniel Smoak, MD
Student in an Organized Health Care Education/Training Program in Memphis, Tennessee
NPI 1184369175

Sullivan Daniel Smoak is a Student in an Organized Health Care Education/Training Program based in Memphis, TN. Sullivan Daniel Smoak practices in Memphis, TN and has the professional credentials of MD. The NPI Number for Sullivan Daniel Smoak is 1184369175 and holds a License No. (Tennessee).

The current practice location address for Sullivan Daniel Smoak is 940 Madison Ave, Memphis, TN and can be reached out via phone at 901-448-5364.

Location: 940 Madison Ave, Memphis, TN, 38163-0001
person
Provider Profile Details
NPI Number
1184369175
Provider Name
Sullivan Daniel Smoak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
940 Madison Ave, Memphis, TN, 38163-0001
Phone Number
901-448-5364
Fax Number
Provider Enumeration Date
05/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
940 Madison Ave
City
State
Zip
38163-0001
Phone Number
901-448-5364
Fax Number
person
Provider Business Mailing Address Details
Address
940 Madison Ave
City
State
Zip
38163-0001
Phone Number
901-448-5364
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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