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Blake Smith
Primary Care Nurse Practitioner in Savannah, Tennessee
NPI 1760718282

Blake Smith is a Primary Care Nurse Practitioner based in Savannah, TN and is specialized in Primary Care. Blake Smith practices in Savannah, TN. The NPI Number for Blake Smith is 1760718282 and holds a License No. RN0000161004 (Tennessee).

The current practice location address for Blake Smith is 80 Enoch Blvd, Savannah, TN and can be reached out via phone at 731-926-9600.

Location: 80 Enoch Blvd, Savannah, TN, 38372-3807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760718282
Provider Name
Blake Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
80 Enoch Blvd, Savannah, TN, 38372-3807
Phone Number
731-926-9600
Fax Number
Provider Enumeration Date
10/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
80 Enoch Blvd
City
Savannah
State
Tennessee
Zip
38372
Phone Number
731-926-9600
Fax Number
person
Provider Business Mailing Address Details
Address
80 Enoch Blvd
City
Savannah
State
Tennessee
Zip
38372
Phone Number
731-926-9600
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
163WC1500X
License No.
24523 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
RN0000161004 (Tennessee)
Definition
Definition to come...
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