SearchTennessee171WH0202X

Travis Smith

NPI 1467931287 · on the registry since 2018 · sole proprietor

Practice

Address
443 Grover Ln
Jamestown, TN 38556
Phone
(931) 239-2495
Fax
(931) 879-2788

Registry record

Primary taxonomy
171WH0202X
171WH0202X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee