Individual provider · Type 1 NPI
Mark Thomas Smith, PA-C
Medical Physician Assistant · Lake City, TN
NPI number
1235322181
Active
Practice location
106 Creek St
Lake City, TN 37769
Fax (865) 426-9200
Mailing address
134 Field Stone Dr
Andersonville, TN 37705-3336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1001 (TN) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1235322181
Mark Thomas Smith, PA-C's National Provider Identifier is 1235322181, issued on Aug 23, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake City, TN. The record was last updated on Aug 23, 2007.