Smith, Devon D.

Smith, Devon D. is an sole proprietor health care provider with primary practice located at 1621 W Morris Blvd Ste A , Morristown TN 37813. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Smith, Devon D. can be contacted via phone (432) 307-8088.

Contact Information

Primary practice address
1621 W Morris Blvd Ste A Morristown TN 37813
Phone: (432) 307-8088
Fax: (423) 307-8049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21152 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 21152 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21152 Tennessee

Profile Details

NPI number 1952370587
LBN Legal business name Smith, Devon D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated Jun 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952370587 NPPES
Tennessee Other 208941765 TAX ID
Tennessee MEDICAID 3069190 TAX ID
Tennessee MEDICAID 3370150 TAX ID
Tennessee Other 363946 TAX ID
Tennessee Other 100024081 TAX ID
Tennessee MEDICAID 64920887 TAX ID
Tennessee Other 4153913 TAX ID
Tennessee Other TN0116 TAX ID

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