NPI Profile for BLAKE SMITH in SAVANNAH, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Community Health |
163WC1500X |
| NPI # | 1760718282 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/19/2009 | |
| Last updated | 08/29/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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BLAKE SMITH
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