Dr. Paul Grayson Smith Jr., D.O.
Family Medicine in Cleveland, TN. Individual provider (NPI-1).
NPI number1215978747
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1215978747
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul Grayson Smith Jr.
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | DO256 | TN | Yes |
| 207Q00000X | Family Medicine | OS3710 | FL |
Practice location
2121 N Ocoee StSuite 101
Cleveland, TN 37311-3953
Phone 423-472-6548 · Fax 423-472-8318
Mailing address
2121 N Ocoee StSuite 101
Cleveland, TN 37311-3953
Phone 423-472-6548 · Fax 423-472-8318
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