Grace Internal Medicine

LBN: Devon D. Smith, Md
Grace Internal Medicine is an health care organization with primary practice located at 1621 W Morris Blvd Ste A , Morristown TN 37813-2967. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Devon D. Smith, Md can be contacted via phone (423) 307-8088, or through Smith, Devon D via phone (423) 307-8088.

Contact Information

Primary practice address
1621 W Morris Blvd Ste A Morristown TN 37813-2967
Phone: (423) 307-8088
Fax: (423) 307-8049
Website:
Map and Directions
Authorized official contact:
Name: Smith, Devon D Doctor of Medicine (MD)
Phone: (423) 307-8088

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD21152 Tennessee

Profile Details

NPI number 1114113628
LBN Legal business name Devon D. Smith, Md
DBA Doing business as Grace Internal Medicine
Authorized official Smith, Devon D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
Last updated Jan 4th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114113628 NPPES
Tennessee MEDICAID 3069190
Tennessee Other 4153913

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