person
Mr. Mark Thomas Smith, PA-C
Medical Physician Assistant in Lake City, Tennessee
NPI 1235322181

Mark Thomas Smith is a Medical Physician Assistant based in Andersonville, TN and is specialized in Medical. Mark Thomas Smith practices in Lake City, TN and has the professional credentials of PA-C. The NPI Number for Mark Thomas Smith is 1235322181 and holds a License No. 1001 (Tennessee).

The current practice location address for Mark Thomas Smith is 106 Creek St, Lake City, TN and can be reached out via phone at 865-426-2186 and via fax at 865-426-9200.

Location: 106 Creek St, Lake City, TN, 37705-3336
person
Provider Profile Details
NPI Number
1235322181
Provider Name
Mark Thomas Smith
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
106 Creek St, Lake City, TN, 37705-3336
Phone Number
865-426-2186
Fax Number
865-426-9200
Provider Enumeration Date
08/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
106 Creek St
City
State
Zip
37769
Phone Number
865-426-2186
Fax Number
865-426-9200
person
Provider Business Mailing Address Details
Address
106 Creek St
City
State
Zip
37769
Phone Number
865-426-2186
Fax Number
865-426-9200
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1001 (Tennessee)
Definition
Definition to come...
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