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Dr. Benjamin Roy Smith JR., MD
Student in an Organized Health Care Education/Training Program in Kingsport, Tennessee
NPI 1598347056

Benjamin Roy Smith JR. is a Student in an Organized Health Care Education/Training Program based in Kingsport, TN. Benjamin Roy Smith JR. practices in Kingsport, TN and has the professional credentials of MD. The NPI Number for Benjamin Roy Smith JR. is 1598347056 and holds a License No. (Tennessee).

The current practice location address for Benjamin Roy Smith JR. is 130 W Ravine Rd Ste 9C, Kingsport, TN and can be reached out via phone at 423-224-3292 and via fax at 423-224-3215.

Location: 130 W Ravine Rd Ste 9C, Kingsport, TN, 37660-3837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598347056
Provider Name
Benjamin Roy Smith JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
130 W Ravine Rd Ste 9C, Kingsport, TN, 37660-3837
Phone Number
423-224-3292
Fax Number
423-224-3215
Provider Enumeration Date
04/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
130 W Ravine Rd Ste 9C
City
Kingsport
State
Tennessee
Zip
37660-3837
Phone Number
423-224-3292
Fax Number
423-224-3215
person
Provider Business Mailing Address Details
Address
130 W Ravine Rd Ste 9C
City
Kingsport
State
Tennessee
Zip
37660-3837
Phone Number
423-224-3292
Fax Number
423-224-3215
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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