Individual provider · Type 1 NPI

Raymond Shane Smith, PA-C

Physician Assistant · Johnson City, TN

NPI number 1104006592 Active

Practice location

410 N State Of Franklin Rd, Suite 130
Johnson City, TN 37604-6971

Call (423) 431-2477 Map

Fax (423) 431-2478

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2338 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104006592

Raymond Shane Smith, PA-C's National Provider Identifier is 1104006592, issued on Nov 14, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Johnson City, TN. The record was last updated on Feb 23, 2017.