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De'angelo Shaquille Raeshun Smotherson, MD
Student in an Organized Health Care Education/Training Program in Chattanooga, Tennessee
NPI 1649915356

De'angelo Shaquille Raeshun Smotherson is a Student in an Organized Health Care Education/Training Program based in Chattanooga, TN. De'angelo Shaquille Raeshun Smotherson practices in Chattanooga, TN and has the professional credentials of MD. The NPI Number for De'angelo Shaquille Raeshun Smotherson is 1649915356 and holds a License No. (Tennessee).

The current practice location address for De'angelo Shaquille Raeshun Smotherson is 975 E 3Rd St, Chattanooga, TN and can be reached out via phone at 423-778-7628.

Location: 975 E 3Rd St, Chattanooga, TN, 37403-2173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649915356
Provider Name
De'angelo Shaquille Raeshun Smotherson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
975 E 3Rd St, Chattanooga, TN, 37403-2173
Phone Number
423-778-7628
Fax Number
Provider Enumeration Date
04/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
975 E 3Rd St
City
Chattanooga
State
Tennessee
Zip
37403-2173
Phone Number
423-778-7628
Fax Number
person
Provider Business Mailing Address Details
Address
975 E 3Rd St
City
Chattanooga
State
Tennessee
Zip
37403-2173
Phone Number
423-778-7628
Fax Number
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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