Smith, Jerry Lee

Smith, Jerry Lee is an individual health care provider with primary practice located at 1 Siskin Plz Ste 101 , Chattanooga TN 37403-1306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Smith, Jerry Lee can be contacted via phone (423) 803-2226.

Contact Information

Primary practice address
1 Siskin Plz Ste 101 Chattanooga TN 37403-1306
Phone: (423) 803-2226
Fax: (423) 803-2222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD0000026739 Tennessee
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 041960 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X MD26739 Tennessee

Profile Details

NPI number 1811957384
LBN Legal business name Smith, Jerry Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Aug 10th, 2021 - about 4 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 1811957384 NPPES
Georgia Other 10076869 AMERIGROUP
Georgia Other 4126985 AMERIGROUP
Georgia Other 376910 AMERIGROUP

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