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Contact Information

COLEEN M SMITH, DO
111 W 10TH AVE
JOHNSON CITY, TN37604-3844
 Phone: 423-722-9355
 Fax: 423-722-9333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for COLEEN M SMITH · (Female)

NPI Number 1164519880
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/06/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 1434
  • TN Other 4043727 BLUE CROSS/ BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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