Whitaker Michael Smith MD

NPI 1003827205 - Family Medicine - 207Q00000X

NPI Details
NPI 1003827205
Gender Male
Enumeration Date 08/11/2006
Last Updated 01/05/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
1019 W OAKLAND AVE
SUITE 1
JOHNSON CITY TN, 37604-2357, US
Phone (423) 915-5000
Fax (423) 915-5045
Business Location
509 MEDTECH PKWY
SUITE 100
JOHNSON CITY TN, 37604, US
Phone (423) 952-2122
Fax (423) 230-2112
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number 0000031792
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According to our database, Dr. Whitaker Michael Smith MD NPI is 1003827205, taxonomy code is 207Q00000X and license number is 0000031792, license state is located at Tennessee. Whitaker Michael Smith MD physically located at 1019 W Oakland Ave, Johnson City TN, 37604-2357. NPI Number Whitaker Michael Smith MD has the Individual type.

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1003827205 NPI number is provided on an as is basis without warranty of any kind. 1003827205 is maintained by the National Plan & Provider Enumeration System. The contents of Whitaker Michael Smith MD are for informational purposes only.